Provider Demographics
NPI:1730938275
Name:JULIE BAKER-NOLAN LLC
Entity type:Organization
Organization Name:JULIE BAKER-NOLAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAKER-NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-850-1594
Mailing Address - Street 1:241 LEATHER LEAF LN
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-7784
Mailing Address - Country:US
Mailing Address - Phone:513-850-1594
Mailing Address - Fax:
Practice Address - Street 1:1618 DEERFIELD RD BLDG 1
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9845
Practice Address - Country:US
Practice Address - Phone:513-850-1594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty