| Organization Name: | CHRISTOS MINISTRIES COUNSELING |
| NPI Number: | 1104009414 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHELLY R LUND (CLINICAL SOCIAL WORKER) |
| Mailing Address: | 12970 W Bluemound Rd Suite 105 Elm Grove |
| State: | WI US |
| Postal Code: | 531222607 |
| Phone Number: | 2627872904 |
| Fax Number: | 2627872909 |
| NPI Enumeration Date: | 12/10/2007 |
| NPI Last Update Date: | 12/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2774-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |