Provider Demographics
NPI:1427493089
Name:SCHEID, JULIE KAY (CMHC, SUDC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:KAY
Last Name:SCHEID
Suffix:
Gender:F
Credentials:CMHC, SUDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 S MAIN ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-3058
Mailing Address - Country:US
Mailing Address - Phone:801-485-3772
Mailing Address - Fax:
Practice Address - Street 1:2480 S MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-3058
Practice Address - Country:US
Practice Address - Phone:801-485-3772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT287998-6006101YA0400X
UT287998-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)