Julie L Pavlicek Counseling Services PLLC

Key facts

NPI

1699476358

Entity type

Organization (NPI type 2)

Primary specialty

Marriage & Family Therapist 106H00000X

Legal business name

JULIE L PAVLICEK COUNSELING SERVICES PLLC

Practice address

1718 7TH St SE
Puyallup, WA 98372-4623

Phone

(253) 970-3137

NPI assigned

Mar 10, 2023

Organization subpart

No

Authorized official

Name

Julie L Pavlicek, LMFT NPI 1407323702

Title

Therapist

Phone

(253) 970-3137

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Lynn Pavlicek Marriage & Family Therapist · Puyallup, WA · NPI 1407323702
  NPD Authorized official MARRIAGE & FAMILY THERAPIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 12, 2023.

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1699476358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 7TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724623",
            "telephone_number": "253-970-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 7TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724623",
            "telephone_number": "253-970-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L PAVLICEK COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "PAVLICEK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "253-970-3137",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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