Provider Demographics
NPI:1376305037
Name:JJ WHITE MINISTRIES, LLC
Entity Type:Organization
Organization Name:JJ WHITE MINISTRIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO/COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, DPC
Authorized Official - Phone:617-869-0185
Mailing Address - Street 1:4 BAYBERRY DRIVE
Mailing Address - Street 2:UNIT #3
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067
Mailing Address - Country:US
Mailing Address - Phone:617-869-0185
Mailing Address - Fax:
Practice Address - Street 1:4 BAYBERRY DRIVE
Practice Address - Street 2:UNIT #3
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067
Practice Address - Country:US
Practice Address - Phone:617-869-0185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty