Provider Demographics
NPI:1508744913
Name:BEVAK, JULIA SIERRA (LLMSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:SIERRA
Last Name:BEVAK
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 MORRELL ST # 2R
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48209-3815
Mailing Address - Country:US
Mailing Address - Phone:480-221-9678
Mailing Address - Fax:
Practice Address - Street 1:2820 W MAPLE RD STE 100
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7064
Practice Address - Country:US
Practice Address - Phone:248-284-4226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511198861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical