Provider Demographics
NPI:1538471214
Name:JOURNEY COUNSELING CENTER
Entity Type:Organization
Organization Name:JOURNEY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANIECE
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOUST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:865-362-9199
Mailing Address - Street 1:323 W EMORY RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-4318
Mailing Address - Country:US
Mailing Address - Phone:865-362-9199
Mailing Address - Fax:865-938-8371
Practice Address - Street 1:323 W EMORY RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4318
Practice Address - Country:US
Practice Address - Phone:865-362-9199
Practice Address - Fax:865-938-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4532251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health