Healthcare Provider Details

I. General information

NPI: 1245774678
Provider Name (Legal Business Name): JULIA ROSEANNE HUTCHINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2016
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 RIVERSIDE DR
MONROE LA
71201-6211
US

IV. Provider business mailing address

PO BOX 2625
WEST MONROE LA
71294-2625
US

V. Phone/Fax

Practice location:
  • Phone: 706-540-4992
  • Fax:
Mailing address:
  • Phone: 706-540-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6910
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: