Provider Demographics
NPI:1144791617
Name:JOURNEYS COUNSELING CENTER
Entity Type:Organization
Organization Name:JOURNEYS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSEK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-445-4190
Mailing Address - Street 1:6210 102ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8284
Mailing Address - Country:US
Mailing Address - Phone:806-445-4190
Mailing Address - Fax:
Practice Address - Street 1:4703 S LOOP 289
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2224
Practice Address - Country:US
Practice Address - Phone:806-687-5413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208139001Medicaid