MRS. DEMETRICE JUDKINS


Address: 882 Plantation Way Ste D, Montgomery, AL 36117-2217
Phone: 3342337436

MRS. DEMETRICE JUDKINS (NPI# 1962960153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962960153
Entity Type Individual
Full Name MRS. DEMETRICE JUDKINS
Credential MS, LPC
Practice Address 882 Plantation Way Ste D
Montgomery
AL 36117-2217
Mailing Address Po Box 230426
Montgomery
AL 36123-0426
Practice Telephone 3342337436
Enumeration Date 2019-03-06
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
3899 AL Behavioral Health & Social Service Providers

Office Location

Street Address 882 PLANTATION WAY STE D
City MONTGOMERY
State AL
Zip Code 36117-2217

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1770050791 Blair Henderson Parks Speech-Language Pathologist 7088 University Court, Montgomery, AL 36117 2018-10-29
1629557822 Evelyn F Crayton Dietitian, Registered 124 Elm Dr, Montgomery, AL 36117 2018-08-08
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1063912301 Gardenia Cove Mental Health PC Psychiatry & Neurology 6771 Taylor Circle, Montgomery, AL 36117 2018-02-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851992143 Sheri Lynn Brown Counselor 11803 Briarwood Ln, Montgomery, TX 77356-5496 2020-11-04
1366069528 Jenikke D Rozell Counselor 4135 Carmichael Rd Ste 320, Montgomery, AL 36106-3605 2020-07-02
1538782669 Melissa S Moore Counselor 882 Plantation Way Ste C, Montgomery, AL 36117-2217 2020-05-23
1659994770 Keiera Russell Counselor 1212 Azalea Park Ln, Montgomery, AL 36106-3278 2020-05-22
1508486812 Tonda Denise West Counselor 230 Mendel Pkwy E Ste E, Montgomery, AL 36117-5404 2020-04-16
1215561162 Ithaca A Gilbert Counselor 6617 Concord Mews, Montgomery, AL 36116-5293 2020-03-01
1942846944 Colenthia Wright Counselor 112 Coliseum Blvd, Montgomery, AL 36109-2708 2019-11-25
1275195695 Vera Chidima Oluoha-anyanwu Counselor 458 N Eastern Blvd, Montgomery, AL 36117-2212 2019-07-05
1497316962 Lona Snell Counselor 22157 Stone Creek Ln, Montgomery, TX 77316-6765 2019-06-25
1881155885 Marjorie Daphane Sharpe Counselor 225 W Wilding Dr, Montgomery, AL 36116-3735 2019-03-31
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Competitor

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City MONTGOMERY
Zip Code 36117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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