Provider Demographics
NPI:1780480897
Name:JOURNEY TO GROWTH LLC
Entity type:Organization
Organization Name:JOURNEY TO GROWTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONTREASE
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MA, LCMHC
Authorized Official - Phone:773-350-3710
Mailing Address - Street 1:2735 OLDENWAY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-9774
Mailing Address - Country:US
Mailing Address - Phone:773-350-3710
Mailing Address - Fax:
Practice Address - Street 1:2735 OLDENWAY DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-9774
Practice Address - Country:US
Practice Address - Phone:773-350-3710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health