Provider Demographics
NPI:1235807033
Name:AMAZING JOURNEYS COUNSELING, LLC
Entity Type:Organization
Organization Name:AMAZING JOURNEYS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-652-2301
Mailing Address - Street 1:14661 W VOLTAIRE ST
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-6170
Mailing Address - Country:US
Mailing Address - Phone:480-652-2301
Mailing Address - Fax:623-321-8738
Practice Address - Street 1:14661 W VOLTAIRE ST
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-6170
Practice Address - Country:US
Practice Address - Phone:480-652-2301
Practice Address - Fax:623-321-8738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty