Provider Demographics
NPI:1003331497
Name:BONNE JOURNEE PLLC
Entity Type:Organization
Organization Name:BONNE JOURNEE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER AND ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:TREMBLAY
Authorized Official - Last Name:PETTEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-280-5432
Mailing Address - Street 1:1104 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-4144
Mailing Address - Country:US
Mailing Address - Phone:336-280-0543
Mailing Address - Fax:
Practice Address - Street 1:1104 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4144
Practice Address - Country:US
Practice Address - Phone:336-280-0543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0108971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty