Healthcare Provider Details

I. General information

NPI: 1366031551
Provider Name (Legal Business Name): JULIE ANN TITUS MS, CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3322 S CAMPBELL AVE STE S
SPRINGFIELD MO
65807-4980
US

IV. Provider business mailing address

3322 S CAMPBELL AVE STE S
SPRINGFIELD MO
65807-4980
US

V. Phone/Fax

Practice location:
  • Phone: 417-597-3996
  • Fax:
Mailing address:
  • Phone: 417-597-3996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: