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NPI Code Detail

MEDICARE: JULIE AVILA LPC

MEDICARE:   JULIE  AVILA  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC05254KS

General Provider Information

NPI Number : 1225992746
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE AVILA LPC
Provider Business Mailing Address
First Line : 1504 E 100TH RD
Second Line :
City : BERRYTON
State : KS
Zip : 66409-9006
Country : US
Telephone Number : 785-330-5126
Fax Number :
Provider Business Practice Location Address
First Line : 1201 WAKARUSA DR STE E229
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-3883
Country : US
Telephone Number : 785-330-5126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ JULIE AVILA LPC” Practice Location

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