Provider Demographics
NPI:1508645136
Name:EMBRACE THE JOURNEY COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:EMBRACE THE JOURNEY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-845-8418
Mailing Address - Street 1:6148 PINE DALE LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2356
Mailing Address - Country:US
Mailing Address - Phone:177-084-5841
Mailing Address - Fax:
Practice Address - Street 1:6148 PINE DALE LN
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2356
Practice Address - Country:US
Practice Address - Phone:770-845-8418
Practice Address - Fax:470-407-6146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health