Provider Demographics
NPI:1912670415
Name:JOURNEY CREEK COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:JOURNEY CREEK COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-834-8107
Mailing Address - Street 1:17200 CHENAL PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-5965
Mailing Address - Country:US
Mailing Address - Phone:501-476-5531
Mailing Address - Fax:501-476-5531
Practice Address - Street 1:25 RAHLING CIR STE D
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-6000
Practice Address - Country:US
Practice Address - Phone:501-476-5531
Practice Address - Fax:501-476-5531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty