Organization Active NPI

Journey to Wellness, LLC

  • Community/Behavioral Health Agency
  • Covington, GA
National Provider Identifier
1184877433
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Oct 30, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.