Provider Demographics
NPI:1013759281
Name:INTEGRATIVE HEALING JOURNEYS
Entity type:Organization
Organization Name:INTEGRATIVE HEALING JOURNEYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERNAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER-HOLLINGSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, NCC
Authorized Official - Phone:443-492-9419
Mailing Address - Street 1:2657G ANNAPOLIS RD # 126
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2467
Mailing Address - Country:US
Mailing Address - Phone:443-492-9419
Mailing Address - Fax:
Practice Address - Street 1:1812 ENCORE TER
Practice Address - Street 2:
Practice Address - City:SEVERN
Practice Address - State:MD
Practice Address - Zip Code:21144-1174
Practice Address - Country:US
Practice Address - Phone:443-492-9419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty