Healthcare Provider Details

I. General information

NPI: 1023191350
Provider Name (Legal Business Name): JULIE ANN MORELAND M.S., LMLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22214 D ST
WINFIELD KS
67156-7376
US

IV. Provider business mailing address

7441 101ST RD
WINFIELD KS
67156-6646
US

V. Phone/Fax

Practice location:
  • Phone: 620-221-9664
  • Fax:
Mailing address:
  • Phone: 620-221-7202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number732
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: