Provider Demographics
NPI:1083085906
Name:JOURNEY TO PSYCHOLOGICAL WELLNESS, LLC
Entity Type:Organization
Organization Name:JOURNEY TO PSYCHOLOGICAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-390-4543
Mailing Address - Street 1:1005 BROOKSIDE RD STE 80
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9023
Mailing Address - Country:US
Mailing Address - Phone:610-390-4543
Mailing Address - Fax:844-281-1999
Practice Address - Street 1:1005 BROOKSIDE RD STE 80
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9023
Practice Address - Country:US
Practice Address - Phone:610-390-4543
Practice Address - Fax:844-281-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty