Provider Demographics
NPI:1821710070
Name:JOURNEY TO HEALING THERAPIES LLC
Entity Type:Organization
Organization Name:JOURNEY TO HEALING THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIVEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:662-322-4243
Mailing Address - Street 1:1357 REVIVAL RD
Mailing Address - Street 2:
Mailing Address - City:BELDEN
Mailing Address - State:MS
Mailing Address - Zip Code:38826-9795
Mailing Address - Country:US
Mailing Address - Phone:662-322-4243
Mailing Address - Fax:
Practice Address - Street 1:1357 REVIVAL RD
Practice Address - Street 2:
Practice Address - City:BELDEN
Practice Address - State:MS
Practice Address - Zip Code:38826-9795
Practice Address - Country:US
Practice Address - Phone:662-322-4243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health