Individual ProviderTerry T. JudiceSocial WorkerBehavioral Health & Social Service ProvidersPractice Address141 Ridgeway Dr., Suite 103, Lafayette, LA 70503(337) 235-5088PECOS EnrollmentBased on the most recent information from CMS, provider Terry T. Judice does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:46 AM.Profile DetailsProvider ID1063463354Provider TypeIndividualFull NameJudice, Terry T.TitleMr.CredentialLCSWGenderMaleSole ProprietorNoEnumeration Date5/12/2006Last Updated10/18/2011Contact InformationPractice LocationPractice Address141 Ridgeway Dr., Suite 103, Lafayette, LA 70503Phone(337) 235-5088Fax(337) 232-0022Mailing LocationMailing Address141 Ridgeway Dr., Suite 103, Lafayette, LA 70503Phone(337) 235-5088Fax(337) 232-0022Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2956Louisiana