Provider Demographics
NPI:1679060214
Name:ALLEY, JULIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:ALLEY
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 1:4433 SAINT MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2023
Mailing Address - Country:US
Mailing Address - Phone:985-445-3414
Mailing Address - Fax:504-475-5174
Practice Address - Street 1:4433 SAINT MARTIN ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2023
Practice Address - Country:US
Practice Address - Phone:985-445-3414
Practice Address - Fax:504-475-5174
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-19
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA108521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical