Provider Demographics
NPI:1427299320
Name:MERGL, JULIE DIANE (LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:DIANE
Last Name:MERGL
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:DIANE
Other - Last Name:ALLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3895 TAR KILN RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-2097
Mailing Address - Country:US
Mailing Address - Phone:904-366-9617
Mailing Address - Fax:904-886-4071
Practice Address - Street 1:6100 GREENLAND RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-2453
Practice Address - Country:US
Practice Address - Phone:904-466-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC5167101YM0800X
FL101YM0800X
FLMH9311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health