Provider Demographics
NPI:1376902684
Name:ST. JUDE'S MINISTRIES INC.
Entity Type:Organization
Organization Name:ST. JUDE'S MINISTRIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PASTORAL COUNSELO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:JUNGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:703-400-5365
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-0271
Mailing Address - Country:US
Mailing Address - Phone:703-400-5365
Mailing Address - Fax:252-631-0300
Practice Address - Street 1:207 HWY 343 SOUTH
Practice Address - Street 2:CHURCH OF THE REDEEMER CAMDEN
Practice Address - City:CAMDEN
Practice Address - State:NC
Practice Address - Zip Code:27921
Practice Address - Country:US
Practice Address - Phone:703-400-5365
Practice Address - Fax:252-631-0300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSIONARY DIOCESE OF ALL SAINTS, ACNA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA18097101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty