Provider Demographics
NPI:1952874844
Name:JOURNEY INTO WELLNESS, LLC
Entity Type:Organization
Organization Name:JOURNEY INTO WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LASHAUNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:PHD-LCPC
Authorized Official - Phone:518-331-0825
Mailing Address - Street 1:1120 N CHARLES ST STE 302
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5595
Mailing Address - Country:US
Mailing Address - Phone:410-929-5096
Mailing Address - Fax:
Practice Address - Street 1:1120 N CHARLES ST STE 302
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5595
Practice Address - Country:US
Practice Address - Phone:410-929-5096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty