Provider Demographics
NPI:1881456275
Name:A'JOURNEY PSYCHIATRIC CARE, INC
Entity type:Organization
Organization Name:A'JOURNEY PSYCHIATRIC CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHONDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:980-333-9105
Mailing Address - Street 1:4614 WILGROVE MINT HILL RD STE B6
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-3500
Mailing Address - Country:US
Mailing Address - Phone:980-494-3553
Mailing Address - Fax:704-270-6890
Practice Address - Street 1:4614 WILGROVE MINT HILL RD STE B6
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-3500
Practice Address - Country:US
Practice Address - Phone:980-494-3553
Practice Address - Fax:704-270-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty