Provider Demographics
NPI:1053612796
Name:GATLING, JULIA WINGFIELD (LCSW)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:WINGFIELD
Last Name:GATLING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 SLEEPY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-0927
Mailing Address - Country:US
Mailing Address - Phone:214-673-3840
Mailing Address - Fax:
Practice Address - Street 1:1575 HERITAGE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3288
Practice Address - Country:US
Practice Address - Phone:214-673-3840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical