Journey Revealed

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

JOURNEY REVEALED

Practice address

1700 First Baxter Xing
Suite 204
Fort Mill, SC 29708-8948

Phone

(803) 431-0734

NPI assigned

Oct 19, 2012

Last updated

Oct 19, 2012By 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

Lauri Maze-Davis, APRNNPI 1831491331

Title

Manager

Phone

(803) 431-0734

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.

• Lauri Maze-Davis, APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Fort Mill, SC
  • NPI 1831491331
  NPD (past) Authorized official

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1427301092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44429 ORIOLE DR",
            "address_2": "UNIT 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 FIRST BAXTER XING",
            "address_2": "SUITE 204",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088948",
            "telephone_number": "803-431-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY REVEALED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MAZE-DAVIS",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-431-0734",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Jones, BT
• Sutton Elizabeth Jones
• Jonna J Moreschi DMD PC
• Dara Anita Josiah-Howze, MD
• Journey Orthopaedic Institute LLC (Journey Orthopaedic Institute)
• Journey Treatment Services
• Emma Cecilia Jusseaume, PA-C
• Kalp Juthani
• Nehalkumar Chandrakant Kabrawala, RPH
• Nand Shailu Kalaria, DMD

• Psychiatric/Mental Health Clinical Nurse Specialist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.