Provider Demographics
NPI:1548733900
Name:NEW JOURNEY COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:NEW JOURNEY COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-431-8900
Mailing Address - Street 1:420 MIDDLE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-2547
Mailing Address - Country:US
Mailing Address - Phone:678-431-8900
Mailing Address - Fax:
Practice Address - Street 1:4290 BELLS FERRY RD NW STE 134-2018
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7140
Practice Address - Country:US
Practice Address - Phone:530-830-1893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health