Provider Demographics
NPI:1669626131
Name:JOURNEYS COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:JOURNEYS COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKHOLZ-WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CACIII, MAC
Authorized Official - Phone:719-687-6927
Mailing Address - Street 1:320 BURDETTE ST
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80863-2435
Mailing Address - Country:US
Mailing Address - Phone:719-687-6927
Mailing Address - Fax:
Practice Address - Street 1:320 BURDETTE ST
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:CO
Practice Address - Zip Code:80863-2435
Practice Address - Country:US
Practice Address - Phone:719-687-6927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1215251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health