Provider Demographics
NPI:1497122527
Name:A NEW JOURNEY COUNSELING
Entity Type:Organization
Organization Name:A NEW JOURNEY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JOLENE
Authorized Official - Last Name:GOLDFAINDAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-209-5933
Mailing Address - Street 1:423 COUNTY ROAD 13
Mailing Address - Street 2:
Mailing Address - City:GUNNISON
Mailing Address - State:CO
Mailing Address - Zip Code:81230-8722
Mailing Address - Country:US
Mailing Address - Phone:970-209-5933
Mailing Address - Fax:
Practice Address - Street 1:234 N MAIN ST
Practice Address - Street 2:3-E #200
Practice Address - City:GUNNISON
Practice Address - State:CO
Practice Address - Zip Code:81230-2438
Practice Address - Country:US
Practice Address - Phone:970-209-5933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003118101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty