Provider Demographics
NPI:1992345037
Name:SIHILLING, JULIE MELTON (LICSW)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MELTON
Last Name:SIHILLING
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 46TH ST # 2A
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-4950
Mailing Address - Country:US
Mailing Address - Phone:612-547-8361
Mailing Address - Fax:612-260-2301
Practice Address - Street 1:100 W 46TH ST # 2A
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-4950
Practice Address - Country:US
Practice Address - Phone:612-547-8361
Practice Address - Fax:612-260-2301
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN246631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty