Provider Demographics
NPI:1932956372
Name:BEAUTIFUL JOURNEY CONSULTANT MENTAL HEALTH, LLC
Entity Type:Organization
Organization Name:BEAUTIFUL JOURNEY CONSULTANT MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-756-5295
Mailing Address - Street 1:900 GRANBY ST STE 247
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2577
Mailing Address - Country:US
Mailing Address - Phone:757-756-5295
Mailing Address - Fax:
Practice Address - Street 1:900 GRANBY ST STE 247
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2577
Practice Address - Country:US
Practice Address - Phone:757-756-5295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty