Julianne Douglas | Lake Worth, FL • PECOS Search

Julianne Douglas

Counselor

Behavioral Health & Social Service Providers

7138 Lake Worth Rd Ste D, Lake Worth, FL 33467-2970

PECOS Enrollment

Based on the most recent information from CMS, provider Julianne Douglas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1295589034
Provider Type
Individual
Full Name
Douglas, Julianne
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/17/2024
Last Updated
4/17/2024

Contact Information

Practice Location

7138 Lake Worth Rd Ste D, Lake Worth, FL 33467-2970

Unlisted Fax

Mailing Location

1315 Longwood St, West Palm Beach, FL 33401-6809

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License IMH24648 Florida