Provider Demographics
NPI:1053618421
Name:ORSAK, JULIE ANNE (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:ORSAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 BIGLEAF DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-6600
Mailing Address - Country:US
Mailing Address - Phone:469-269-0951
Mailing Address - Fax:
Practice Address - Street 1:212 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2935
Practice Address - Country:US
Practice Address - Phone:469-269-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-22
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62342101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional