Provider Demographics
NPI:1598560187
Name:NESBITT, JULIE LOUISE (MA, LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:LOUISE
Last Name:NESBITT
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LOUISE
Other - Last Name:ANDRUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2007 HUNTER GLADE LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4467
Mailing Address - Country:US
Mailing Address - Phone:817-709-3183
Mailing Address - Fax:
Practice Address - Street 1:2501 PARKVIEW DR STE 220
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-5824
Practice Address - Country:US
Practice Address - Phone:817-571-4110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional