Provider Demographics
NPI:1013276542
Name:JOURNEY COUNSELING SERVICES
Entity Type:Organization
Organization Name:JOURNEY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:319-541-7253
Mailing Address - Street 1:1290 W FOREVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-8519
Mailing Address - Country:US
Mailing Address - Phone:319-541-7253
Mailing Address - Fax:
Practice Address - Street 1:2707 DUBUQUE ST NE
Practice Address - Street 2:
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-9381
Practice Address - Country:US
Practice Address - Phone:319-541-7253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001295251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health