Provider Demographics
NPI:1487476404
Name:WINDLE, JULIA (MFT TRAINEE)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:WINDLE
Suffix:
Gender:F
Credentials:MFT TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 WITTEKIND TER
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2152
Mailing Address - Country:US
Mailing Address - Phone:513-254-0119
Mailing Address - Fax:
Practice Address - Street 1:135 MERCHANT ST STE 110
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3734
Practice Address - Country:US
Practice Address - Phone:513-999-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.2400410-TRNE106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist