Provider Demographics
NPI:1205507340
Name:JOURNEY TOWARD HEALING
Entity type:Organization
Organization Name:JOURNEY TOWARD HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:818-929-4208
Mailing Address - Street 1:1577 WALLACE ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-4835
Mailing Address - Country:US
Mailing Address - Phone:818-929-4208
Mailing Address - Fax:
Practice Address - Street 1:250 E EASY ST # 6B
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1769
Practice Address - Country:US
Practice Address - Phone:818-929-4208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty