Provider Demographics
NPI:1699476358
Name:JULIE L PAVLICEK COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:JULIE L PAVLICEK COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PAVLICEK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:253-970-3137
Mailing Address - Street 1:1718 7TH ST SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-4623
Mailing Address - Country:US
Mailing Address - Phone:253-970-3137
Mailing Address - Fax:
Practice Address - Street 1:1718 7TH ST SE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4623
Practice Address - Country:US
Practice Address - Phone:253-970-3137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty