Active NPI
Julie L Dudley
- Professional Counselor
- Lake Wylie, SC
National Provider Identifier
1730824988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4607 Charlotte Hwy Ste 5
Lake Wylie, SC 29710-8147 - Phone
- (704) 891-2359
- Fax
- (704) 900-7890
- NPI assigned
- May 2, 2022
- Last updated
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4607 Charlotte Hwy Ste 5
Lake Wylie, SC 29710-8147
Mailing address
14216 Singing Creek Dr
Charlotte, NC 28278-7055
Phone (704) 891-2359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1730824988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14216 SINGING CREEK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787055",
"telephone_number": "704-891-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4607 CHARLOTTE HWY STE 5",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297108147",
"telephone_number": "704-891-2359",
"fax_number": "704-900-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "JULIE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wylie, SC
- Lauren Miller Conway, DPT
- Sherita Featherstone Davis, MED, LPC
- DBDB International LLC (Home Helpers of Spartanburg)
- DBDB International LLC (Life Assist of Lake Wylie)
- Susan Dinlocker
- Kevin Paul Elliott, LDO VCM
- Emotional Wellness & Counseling Center
- Evolve Psychiatry, LLC
- Orlando Floyd
- Cheryl Arlene Foster, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.