Provider Demographics
NPI:1427877919
Name:TULLIS, JULIANNE O'KEEFE (CMSW, LMHP)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:O'KEEFE
Last Name:TULLIS
Suffix:
Gender:F
Credentials:CMSW, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 MARINDA ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-8500
Mailing Address - Country:US
Mailing Address - Phone:531-299-9727
Mailing Address - Fax:
Practice Address - Street 1:4444 MARINDA ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-8500
Practice Address - Country:US
Practice Address - Phone:531-299-9727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE54471041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool