Provider Demographics
NPI:1295462364
Name:JOURNEY MENTAL HEALTH COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:JOURNEY MENTAL HEALTH COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:JULIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-817-9582
Mailing Address - Street 1:60 FIRE ISLAND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3502
Mailing Address - Country:US
Mailing Address - Phone:516-817-9582
Mailing Address - Fax:
Practice Address - Street 1:60 FIRE ISLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3502
Practice Address - Country:US
Practice Address - Phone:516-817-9582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty