Provider Demographics
NPI:1902550759
Name:JULIANN BURKS LMFT
Entity Type:Organization
Organization Name:JULIANN BURKS LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, MA
Authorized Official - Phone:828-898-4145
Mailing Address - Street 1:214 E MOUNTCASTLE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2509
Mailing Address - Country:US
Mailing Address - Phone:423-283-4958
Mailing Address - Fax:423-283-7135
Practice Address - Street 1:214 E MOUNTCASTLE DR STE 1
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2509
Practice Address - Country:US
Practice Address - Phone:423-283-4958
Practice Address - Fax:423-283-7135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty