Provider Demographics
NPI:1306226477
Name:JOURNEY COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:JOURNEY COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROPRIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS, NCC, NBCT
Authorized Official - Phone:910-572-2225
Mailing Address - Street 1:617 NORTH MAIN STREET
Mailing Address - Street 2:PO BOX 373
Mailing Address - City:TROY
Mailing Address - State:NC
Mailing Address - Zip Code:27371-0373
Mailing Address - Country:US
Mailing Address - Phone:910-572-2225
Mailing Address - Fax:910-571-0234
Practice Address - Street 1:617 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NC
Practice Address - Zip Code:27371-0373
Practice Address - Country:US
Practice Address - Phone:910-572-2225
Practice Address - Fax:910-571-0234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS6661251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104729Medicaid