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NPI Code Detail

MEDICARE: JULIE L MERNAUGH LMHC

MEDICARE: JULIE L MERNAUGH LMHC
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
1101YM0800XMental Health CounselorMH23193FL

General Provider Information

NPI Number : 1720849524
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE L MERNAUGH LMHC
Provider Business Mailing Address
First Line : 4004 N RIVERSIDE DR
Second Line :
City : TAMPA
State : FL
Zip : 33603-3212
Country : US
Telephone Number : 813-296-8300
Fax Number :
Provider Business Practice Location Address
First Line : 4004 N RIVERSIDE DR
Second Line :
City : TAMPA
State : FL
Zip : 33603-3212
Country : US
Telephone Number : 813-515-9337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2024
Last Update Date : 01/18/2024

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Directions to “ JULIE L MERNAUGH LMHC” Practice Location

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