Provider Demographics
NPI:1033824149
Name:BICKERSTAFF, JULIA MARIE (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:MARIE
Last Name:BICKERSTAFF
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 GASTON AVE STE 1205
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-3958
Mailing Address - Country:US
Mailing Address - Phone:214-307-2703
Mailing Address - Fax:
Practice Address - Street 1:6301 GASTON AVE STE 1217
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-3958
Practice Address - Country:US
Practice Address - Phone:214-307-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health