Provider Demographics
NPI:1972148617
Name:FAMILY JOURNEYS, LLC
Entity Type:Organization
Organization Name:FAMILY JOURNEYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:229-242-1700
Mailing Address - Street 1:880 S LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31605-6429
Mailing Address - Country:US
Mailing Address - Phone:229-242-1700
Mailing Address - Fax:
Practice Address - Street 1:1803 CANTERBURY DR STE C
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-0505
Practice Address - Country:US
Practice Address - Phone:229-588-4051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty