Provider Demographics
NPI:1649422775
Name:HEAD, HEART, HANDS JOURNEY, INC
Entity Type:Organization
Organization Name:HEAD, HEART, HANDS JOURNEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CO-CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:ROSENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MA, LPC
Authorized Official - Phone:520-403-5611
Mailing Address - Street 1:3817 E CALLE ENSENADA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5127
Mailing Address - Country:US
Mailing Address - Phone:520-403-5611
Mailing Address - Fax:520-325-0003
Practice Address - Street 1:3742 N EDITH BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6639
Practice Address - Country:US
Practice Address - Phone:520-403-5611
Practice Address - Fax:520-325-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC12794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty