Provider Demographics
NPI:1023640661
Name:JOURNEY 2 HEALTH, LLC
Entity type:Organization
Organization Name:JOURNEY 2 HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:LAVETTE
Authorized Official - Last Name:CONNERS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN PMHNP-BC, FNP-C
Authorized Official - Phone:901-676-2026
Mailing Address - Street 1:5200 PARK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3505
Mailing Address - Country:US
Mailing Address - Phone:901-676-2026
Mailing Address - Fax:901-676-2027
Practice Address - Street 1:5200 PARK AVE STE 202
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3505
Practice Address - Country:US
Practice Address - Phone:901-676-2026
Practice Address - Fax:901-676-2027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2023-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty