Provider Demographics
NPI:1780217224
Name:A JOURNEY TO PEACE LLC
Entity Type:Organization
Organization Name:A JOURNEY TO PEACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORRA WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-444-8132
Mailing Address - Street 1:3915 HARRISON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-5896
Mailing Address - Country:US
Mailing Address - Phone:248-444-8132
Mailing Address - Fax:
Practice Address - Street 1:3915 HARRISON RD STE 300
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-5896
Practice Address - Country:US
Practice Address - Phone:248-444-8132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health