Provider Demographics
NPI:1477358208
Name:JOURNEY MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:JOURNEY MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:BAGBY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:620-285-5022
Mailing Address - Street 1:1028 E 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3903
Mailing Address - Country:US
Mailing Address - Phone:620-899-8643
Mailing Address - Fax:
Practice Address - Street 1:1028 E 1ST ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3903
Practice Address - Country:US
Practice Address - Phone:620-899-8643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty