Provider Demographics
NPI:1750037362
Name:JOURNEY TOWARDS IMPROVED HEALTH
Entity Type:Organization
Organization Name:JOURNEY TOWARDS IMPROVED HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:336-312-3818
Mailing Address - Street 1:108 N FRANKLIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NC
Mailing Address - Zip Code:27025-1968
Mailing Address - Country:US
Mailing Address - Phone:336-275-7973
Mailing Address - Fax:336-450-4358
Practice Address - Street 1:108 N FRANKLIN ST STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NC
Practice Address - Zip Code:27025-1968
Practice Address - Country:US
Practice Address - Phone:336-275-7973
Practice Address - Fax:336-450-4358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1235574633Medicaid