Provider Demographics
NPI:1396318960
Name:DAVIS, JULIA WYATT STRASSER (PLPC)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:WYATT STRASSER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:MISS
Other - First Name:JULIA
Other - Middle Name:WYATT
Other - Last Name:STRASSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLPC
Mailing Address - Street 1:5823 TCHOUPITOULAS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-2144
Mailing Address - Country:US
Mailing Address - Phone:860-794-7757
Mailing Address - Fax:
Practice Address - Street 1:3216 N TURNBULL DR STE A
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5732
Practice Address - Country:US
Practice Address - Phone:504-302-7771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8593101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional