Provider Demographics
NPI:1275254039
Name:JOURNEYS
Entity Type:Organization
Organization Name:JOURNEYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:VAN OOSSANEN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:503-720-8336
Mailing Address - Street 1:32 TYLER RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-2426
Mailing Address - Country:US
Mailing Address - Phone:503-720-8336
Mailing Address - Fax:
Practice Address - Street 1:1775 MASSACHUSETTS AVE STE 3A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-5322
Practice Address - Country:US
Practice Address - Phone:781-472-0341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1538743430OtherNPI