Provider Demographics
NPI:1982482691
Name:IM JUST ME MOVEMENT
Entity Type:Organization
Organization Name:IM JUST ME MOVEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS-CULBREATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-344-6206
Mailing Address - Street 1:117 E PICCADILLY ST FL 3
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-5095
Mailing Address - Country:US
Mailing Address - Phone:703-344-6206
Mailing Address - Fax:
Practice Address - Street 1:117 E PICCADILLY ST FL 3
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5095
Practice Address - Country:US
Practice Address - Phone:703-344-6206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty