Provider Demographics
NPI:1134690589
Name:JOURNEY SUPPORT SERVICES INC
Entity Type:Organization
Organization Name:JOURNEY SUPPORT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOSHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIFER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:317-619-5641
Mailing Address - Street 1:3266 N MERIDIAN ST STE 801
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-5834
Mailing Address - Country:US
Mailing Address - Phone:317-986-7106
Mailing Address - Fax:
Practice Address - Street 1:3266 N MERIDIAN ST STE 801
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5834
Practice Address - Country:US
Practice Address - Phone:317-986-7106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-11
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty