MEDICARE: JULIANNA HARTMANN LPC-S

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
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	15259	TX

General Provider Information

NPI Number	:	1720270754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNA HARTMANN LPC-S

Provider Business Mailing Address
First Line	:	PO BOX 3041
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-3077
Country	:	US
Telephone Number	:	512-710-0551
Fax Number	:	512-717-6337

Provider Business Practice Location Address
First Line	:	5524 BEE CAVES RD STE H2
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5246
Country	:	US
Telephone Number	:	512-710-0551
Fax Number	:	512-717-6337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	04/29/2024

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