Healthcare Provider Details

I. General information

NPI: 1861848608
Provider Name (Legal Business Name): JULIE FAFLIK LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE STRATHMANN LMHC

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 MONTANA AVE
EL PASO TX
79902
US

IV. Provider business mailing address

385 CALLE DE ALEGRA STE A
LAS CRUCES NM
88005-3423
US

V. Phone/Fax

Practice location:
  • Phone: 915-599-4900
  • Fax:
Mailing address:
  • Phone: 575-526-1105
  • Fax: 575-524-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberT-0181391
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number74014
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: