Healthcare Provider Details

I. General information

NPI: 1922039718
Provider Name (Legal Business Name): JULIUS M RITCHIE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 MONTLIMAR DRIVE
MOBILE AL
36609-1713
US

IV. Provider business mailing address

5750A SOUTHLAND DRIVE
MOBILE AL
36693-3316
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-2211
  • Fax: 251-662-7297
Mailing address:
  • Phone: 251-450-2211
  • Fax: 251-662-7297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2058
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: