Provider Demographics
NPI:1386746584
Name:PIRTLE, JULIA KATHLEEN (LPC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:KATHLEEN
Last Name:PIRTLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:KATHLEEN
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:409 RUNNELS ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-2529
Mailing Address - Country:US
Mailing Address - Phone:432-264-2650
Mailing Address - Fax:432-268-9897
Practice Address - Street 1:412 W 5TH ST
Practice Address - Street 2:
Practice Address - City:DENVER CITY
Practice Address - State:TX
Practice Address - Zip Code:79323-2761
Practice Address - Country:US
Practice Address - Phone:806-592-8226
Practice Address - Fax:806-592-8259
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional