Provider Demographics
NPI:1720886823
Name:MCCLURE, JULIA (LMHC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MCCLURE
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20530 COLONIAL ISLE DR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3701
Mailing Address - Country:US
Mailing Address - Phone:941-447-0494
Mailing Address - Fax:
Practice Address - Street 1:20530 COLONIAL ISLE DR UNIT 206
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3701
Practice Address - Country:US
Practice Address - Phone:941-447-0494
Practice Address - Fax:941-447-0494
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health