Provider Demographics
NPI:1003545591
Name:JOURNEY CENTER COUNSELING
Entity Type:Organization
Organization Name:JOURNEY CENTER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-396-5023
Mailing Address - Street 1:9466 NAVARRE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2948
Mailing Address - Country:US
Mailing Address - Phone:850-396-5023
Mailing Address - Fax:850-331-1576
Practice Address - Street 1:9466 NAVARRE PKWY STE B
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-2948
Practice Address - Country:US
Practice Address - Phone:850-396-5023
Practice Address - Fax:850-331-1576
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE JOURNEY CENTER FOR WELLNESS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty