Healthcare Provider Details

I. General information

NPI: 1093761033
Provider Name (Legal Business Name): JULIE KNOX LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 02/21/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 WILLOW BRANCH TRAIL
CHELSEA AL
35043
US

IV. Provider business mailing address

16738 HIGHWAY 280 UNIT 601
CHELSEA AL
35043-1430
US

V. Phone/Fax

Practice location:
  • Phone: 205-243-0424
  • Fax:
Mailing address:
  • Phone: 205-243-0424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1731G
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2016C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: