# YVONNE JUDGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Revitalize You
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891308870
- **Authorized official:** YVONNE JUDGE MFT (OWNER)
- **Authorized official phone:** (937) 516-3607

## Contact information

- **Practice address:** 2550 CORPORATE EXCHANGE DR STE 100, COLUMBUS, OH 43231-1660
- **Practice address phone:** (614) 245-5119
- **Mailing address:** 6750 SAWYERS CREEK RD, WESTERVILLE, OH 43081-7676
- **Mailing address phone:** (614) 245-5119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 08/28/2020
- **Last updated:** 04/09/2024