Provider Demographics
NPI:1316678667
Name:SCHROEDER, JULIA (LPC, LSOTP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:LPC, LSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 49TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2451
Mailing Address - Country:US
Mailing Address - Phone:517-643-1054
Mailing Address - Fax:
Practice Address - Street 1:1211 49TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2451
Practice Address - Country:US
Practice Address - Phone:517-643-1054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional