Journey to Grow LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JOURNEY TO GROW LLC

Practice address

2603 Chaffin LN
Magnolia, AR 71753-4327

Phone

(318) 596-9159

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anitra Bradford, LPCNPI 1124218177

Title

MHP

Phone

(870) 949-8754

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anitra Lynette Bradford, LAC

  • Mental Health Counselor
  • Magnolia, AR
  • NPI 1124218177

  Professional

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1144928615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CHAFFIN LN",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534327",
            "telephone_number": "318-596-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 CHAFFIN LN",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717534327",
            "telephone_number": "318-596-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO GROW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "ANITRA",
        "authorized_official_title_or_position": "MHP",
        "authorized_official_telephone_number": "870-949-8754",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rayanne Jones
• Laken Kacie Jones, B.A.
• Valerie Suzanne Jones, PHARMD
• Joseph G. Bussell, DDS PA
• Summer Joslin
• Ked Davis MD (Ked L Davis MD PLLC PA)
• Jan Kiilsgaard, LAT, ATC
• Mary Kimbell, MHPP
• Cathy Tate Kinnard, PLMSW
• Johnny Knighten

• Professional Counselor in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.