Christianne Judy Lcsw LLC
Counselor, Mental Health in O Fallon, IL. Organization (NPI-2).
NPI number1922572148
StatusActive
Last updated in NPPESJun 5, 2020
Details
- NPI
- 1922572148
- Entity type
- Organization (NPI-2)
- Legal business name
- Christianne Judy Lcsw LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2019
- Certification date
- Jun 5, 2020
- Last updated
- Jun 5, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
635 S Lincoln AveO Fallon, IL 62269-2663
Phone 314-518-7897
Mailing address
635 S Lincoln AveO Fallon, IL 62269-2663
Phone 314-518-7897
Authorized official
Christianne M Judy
Psychotherapist
3145187897
Is something wrong?
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