Individual
MRS. JULIE SYMONS LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LPC
Contact information
Practice address
5825 PHELAN BLVD STE 101, BEAUMONT, TX 77706
(409) 860-0001
(409) 860-0010
Mailing address
5825 PHELAN BLVD STE 101, BEAUMONT, TX 77706-6200
(409) 860-0001
(409) 860-0010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14580
TX
103T00000X
Psychologist
10335LPC
TX
103T00000X
Psychologist
14580LCSW
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11121300
MAGELLAN
TX
05
—
112961101
—
TX
01
—
5761005
AETNA
TX
Enumeration date
08/30/2006
Last updated
04/15/2019
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