MEDICARE: JULIE KEARNS ROSE LMFT ASSOCIATE

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	106H00000X	Marriage & Family Therapist	206281	TX

General Provider Information

NPI Number	:	1962360966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE KEARNS ROSE LMFT ASSOCIATE

Provider Business Mailing Address
First Line	:	627 STRATFORD LN
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-6130
Country	:	US
Telephone Number	:	214-724-4114
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 ROCKBROOK DR
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-8181
Country	:	US
Telephone Number	:	214-724-4114
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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