Provider Demographics
NPI:1033850854
Name:JOURNEY FOR CHANGE, LLC
Entity Type:Organization
Organization Name:JOURNEY FOR CHANGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MARCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-400-1586
Mailing Address - Street 1:PO BOX 53854
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70892-3854
Mailing Address - Country:US
Mailing Address - Phone:225-400-1586
Mailing Address - Fax:
Practice Address - Street 1:8211 GOODWOOD BLVD STE A1
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7740
Practice Address - Country:US
Practice Address - Phone:225-400-1586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty