Provider Demographics
NPI:1023663291
Name:ROSADO, JULIE ELAINE (LMHC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ELAINE
Last Name:ROSADO
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:ELAINE
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:311 ROESCH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1315
Mailing Address - Country:US
Mailing Address - Phone:716-474-0289
Mailing Address - Fax:
Practice Address - Street 1:311 ROESCH AVE APT 1
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1315
Practice Address - Country:US
Practice Address - Phone:716-474-0289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011230101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health