| Organization Name: | DANA JUDICE LLC |
| NPI Number: | 1043629165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA JUDICE (OWNER/SOCIAL WORKER) |
| Mailing Address: | 411 Weeks St New Iberia |
| State: | LA US |
| Postal Code: | 705604551 |
| Phone Number: | 3373693000 |
| Fax Number: | 3373693001 |
| NPI Enumeration Date: | 08/04/2014 |
| NPI Last Update Date: | 10/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 8245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |