Provider Demographics
NPI:1447622998
Name:WHEELER, JULIA (LPCA, NCC)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9905 SOVEREIGN WAY
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4909
Mailing Address - Country:US
Mailing Address - Phone:919-210-0580
Mailing Address - Fax:919-435-1480
Practice Address - Street 1:536 WAIT AVE
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2728
Practice Address - Country:US
Practice Address - Phone:919-210-0580
Practice Address - Fax:919-435-1480
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health