Provider Demographics
NPI:1780306258
Name:JOURNEY TO BETTER LIVING COUNSELING AND CONSULTATION, PLLC
Entity type:Organization
Organization Name:JOURNEY TO BETTER LIVING COUNSELING AND CONSULTATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LCAS, CCS
Authorized Official - Phone:704-615-6500
Mailing Address - Street 1:9839 BRAWLEY LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5005
Mailing Address - Country:US
Mailing Address - Phone:704-615-6500
Mailing Address - Fax:
Practice Address - Street 1:9839 BRAWLEY LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5005
Practice Address - Country:US
Practice Address - Phone:704-615-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty