Provider Demographics
NPI:1689473613
Name:HODGES, JULVONDRIA N
Entity type:Individual
Prefix:MS
First Name:JULVONDRIA
Middle Name:N
Last Name:HODGES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 MONTROSE DR APT A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1150
Mailing Address - Country:US
Mailing Address - Phone:252-643-3155
Mailing Address - Fax:
Practice Address - Street 1:355 MONTROSE DR APT A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1150
Practice Address - Country:US
Practice Address - Phone:252-643-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician