JOURNEY COUNSELING AND PSYHOLOGICAL SERVICES LLC NPI 1023405271

NPI Information

NPI: 1023405271
Provider Name: JOURNEY COUNSELING AND PSYHOLOGICAL SERVICES, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2339 LAKE PARK DR
ALBANY, GA
ZIP 31707
Phone: (229) 255-3099
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JOURNEY COUNSELING AND PSYHOLOGICAL SERVICES, LLC is a professional counselor in Albany, GA. JOURNEY COUNSELING AND PSYHOLOGICAL SERVICES, LLC NPI is 1023405271. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2339 LAKE PARK DR
ALBANY, GA
ZIP 31707-131
Phone: (229) 255-3099
Fax: (229) 638-6302

The provider's authorized official is Diane Cerjan .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (229) 255-3099.

The enumeration date for this NPI number is 4/24/2015 and was last updated on 1/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC007520	GEORGIA	Yes
2	101YP2500X	Counselor	Professional	LPC006319	GEORGIA	No
3	103TC0700X	Psychologist	Clinical	PSY002049	GEORGIA	No
4	235Z00000X	Speech-Language Pathologist				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003108087B	MEDICAID	GEORGIA
2	003126707B	MEDICAID	GEORGIA
3	003140236A	MEDICAID	GEORGIA
4	000733961A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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