Provider Demographics
NPI:1902652746
Name:BLAHA, JULIA MAY (LPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:MAY
Last Name:BLAHA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:MAY
Other - Last Name:COZAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9101 BOWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6289
Mailing Address - Country:US
Mailing Address - Phone:915-691-4498
Mailing Address - Fax:
Practice Address - Street 1:9101 BOWFIELD DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-6289
Practice Address - Country:US
Practice Address - Phone:915-691-4498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88281101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional