MEDICARE: JULIE AVILA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC05254	KS

General Provider Information

NPI Number	:	1225992746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE AVILA LPC

Provider Business Mailing Address
First Line	:	1504 E 100TH RD
Second Line	:
City	:	BERRYTON
State	:	KS
Zip	:	66409-9006
Country	:	US
Telephone Number	:	785-330-5126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 WAKARUSA DR STE E229
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3883
Country	:	US
Telephone Number	:	785-330-5126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ JULIE AVILA LPC” Practice Location

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