MRS. JULIE ANNE DE WILDE M.A. LPCC NPI 1083168314

NPI Information

NPI: 1083168314
Provider Name: MRS. JULIE ANNE DE WILDE, M.A., LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112
Phone: (651) 628-9566
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MRS. Julie Anne De Wilde, M.A., LPCC is a professional counselor in New Brighton, MN. MRS. Julie Anne De Wilde, M.A., LPCC NPI is 1083168314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112-786
Phone: (651) 628-9566

The NPI 1083168314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/3/2016 and was last updated on 1/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	CC01711	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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