Provider Demographics
NPI:1598033425
Name:LIFE JOURNEY, LLC
Entity Type:Organization
Organization Name:LIFE JOURNEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-222-1819
Mailing Address - Street 1:207 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2731
Mailing Address - Country:US
Mailing Address - Phone:907-222-1819
Mailing Address - Fax:
Practice Address - Street 1:207 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2731
Practice Address - Country:US
Practice Address - Phone:907-222-1819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK651101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty