Active NPI
Journey to Wellness, LLC
- Community/Behavioral Health Agency
- Covington, GA
National Provider Identifier
1184877433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- JOURNEY TO WELLNESS, LLC
- Practice address
- 380 Princeton Way
Covington, GA 30016-2957 - Phone
- (888) 761-8356
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mireille Etienne, LPC
- Title
- Business Manager
- Phone
- (678) 612-5587
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
380 Princeton Way
Covington, GA 30016-2957
Mailing address
PO Box 49285
Atlanta, GA 30359-1285
Phone (888) 761-8356
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225324800000",
"number": "1184877433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 49285",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303591285",
"telephone_number": "888-761-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 PRINCETON WAY",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300162957",
"telephone_number": "888-761-8356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY TO WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A",
"authorized_official_last_name": "ETIENNE",
"authorized_official_first_name": "MIREILLE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "678-612-5587",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.