Provider Demographics
NPI:1639902497
Name:JOURNEY TO CHANGE THERAPY, PLLC
Entity type:Organization
Organization Name:JOURNEY TO CHANGE THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO, LCSW
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:CHASTAIN
Authorized Official - Last Name:TEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MSW, LCSW
Authorized Official - Phone:828-361-7901
Mailing Address - Street 1:23 CALEDONIA DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-1797
Mailing Address - Country:US
Mailing Address - Phone:828-361-7901
Mailing Address - Fax:
Practice Address - Street 1:2255 OLD MURPHY RD STE 104
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-7205
Practice Address - Country:US
Practice Address - Phone:828-361-7900
Practice Address - Fax:534-220-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health