Provider Demographics
NPI:1932959871
Name:JOURNEY'S HOLISTIC HEALTH AND HEALING ARTS CENTER
Entity Type:Organization
Organization Name:JOURNEY'S HOLISTIC HEALTH AND HEALING ARTS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, PHD
Authorized Official - Phone:601-807-5441
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:LORMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39096-0308
Mailing Address - Country:US
Mailing Address - Phone:601-807-5441
Mailing Address - Fax:601-304-4355
Practice Address - Street 1:31 OAK ST
Practice Address - Street 2:
Practice Address - City:LORMAN
Practice Address - State:MS
Practice Address - Zip Code:39096-5167
Practice Address - Country:US
Practice Address - Phone:601-807-5441
Practice Address - Fax:601-304-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No171400000XOther Service ProvidersHealth & Wellness Coach