Provider Demographics
NPI:1447407564
Name:JOURNEY COUNSELING, LLC
Entity type:Organization
Organization Name:JOURNEY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEREL
Authorized Official - Middle Name:JO
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:575-682-8178
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:#1 RAILROAD DRIVE
Mailing Address - City:HIGH ROLLS
Mailing Address - State:NM
Mailing Address - Zip Code:88325
Mailing Address - Country:US
Mailing Address - Phone:575-682-8178
Mailing Address - Fax:575-682-8178
Practice Address - Street 1:#1 RAILROAD DRIVE
Practice Address - Street 2:
Practice Address - City:HIGH ROLLS
Practice Address - State:NM
Practice Address - Zip Code:88325
Practice Address - Country:US
Practice Address - Phone:575-682-8178
Practice Address - Fax:575-682-8178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0115601251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare