Provider Demographics
NPI:1518486521
Name:JULIE VOGEL
Entity type:Organization
Organization Name:JULIE VOGEL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:093-123-7058
Mailing Address - Street 1:1671 BRANDYWINE RD APT 2112
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2082
Mailing Address - Country:US
Mailing Address - Phone:931-237-0583
Mailing Address - Fax:571-282-6422
Practice Address - Street 1:1671 BRANDYWINE RD APT 2112
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2082
Practice Address - Country:US
Practice Address - Phone:931-237-0583
Practice Address - Fax:571-282-6422
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JULIE VOGEL COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-12
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2045251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1376708354OtherMAGELLAN