Provider Demographics
NPI:1235910704
Name:JUDY DEVRIES COUNSELING INC
Entity Type:Organization
Organization Name:JUDY DEVRIES COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVRIES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP
Authorized Official - Phone:402-669-6311
Mailing Address - Street 1:212 S 74TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4615
Mailing Address - Country:US
Mailing Address - Phone:402-932-5839
Mailing Address - Fax:402-934-8344
Practice Address - Street 1:212 S 74TH ST STE 204
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4615
Practice Address - Country:US
Practice Address - Phone:402-932-5839
Practice Address - Fax:402-934-8344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty