Provider Demographics
NPI:1396403929
Name:THE JOURNEY WITHIN COUNSELING SERVICES WITH CARLY LLC
Entity Type:Organization
Organization Name:THE JOURNEY WITHIN COUNSELING SERVICES WITH CARLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:F
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:614-989-8805
Mailing Address - Street 1:3671 DUFFIELD RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-6543
Mailing Address - Country:US
Mailing Address - Phone:614-989-8805
Mailing Address - Fax:
Practice Address - Street 1:3671 DUFFIELD RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-6543
Practice Address - Country:US
Practice Address - Phone:614-989-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health