LIFE JOURNEY GROUP LLC NPI 1922789296

NPI Information

NPI: 1922789296
Provider Name: LIFE JOURNEY GROUP, LLC
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Organization
Former Legal Business Name: LIFE JOURNEY GROUP, LLC
Address: 901 E VAN BUREN AVE
MCALESTER, OK
ZIP 74501
Phone: (210) 500-6031

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NPI Details

LIFE JOURNEY GROUP, LLC is an addiction (substance use disorder) counselor in Mcalester, OK. LIFE JOURNEY GROUP, LLC NPI is 1922789296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Life Journey Group, Llc.

The provider's business location address is:

901 E VAN BUREN AVE
MCALESTER, OK
ZIP 74501-239
Phone: (210) 500-6031

The provider's authorized official is Alrick A Demontegnac .
The authorized official title is President and has the following contact phone number (210) 500-6031.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/31/2023.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YP1600X	Counselor	Pastoral	No
3	101YP2500X	Counselor	Professional	No
4	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
5	251B00000X	Case Management		No
6	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

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: 11/21/2025

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