Journey of Self Discovery, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW003554 Issued in GA

Legal business name

JOURNEY OF SELF DISCOVERY, LLC.

Practice address

4319 Covington Hwy
Suite 319
Decatur, GA 30035-1210

Phone

(770) 882-4240

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Warren Mitchell, LCSWNPI 1134292667

Title

Ceo/Family Therapist/Life Coach

Phone

(770) 882-4240

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Mitchell, LCSW

  • Clinical Social Worker
  • Tucker, GA
  • NPI 1134292667
  NPD (past) Authorized official

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1467646257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 SILVER CREEK DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475359",
            "telephone_number": "770-882-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HWY",
            "address_2": "SUITE 319",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351210",
            "telephone_number": "770-882-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF SELF DISCOVERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "CEO/FAMILY THERAPIST/LIFE COACH",
        "authorized_official_telephone_number": "770-882-4240",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW003554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185548077A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Djenaba Alana Joseph, M.D.
• Grantley Joseph, M.D.
• Hollly Joseph, RN
• Mugdha Joshi Valsangkar, LMSW
• Ajay K Joshi, MD
• Journi Ardore Homecare
• Maurice Jove, MD
• Nathan Jove, M.D.
• Erika Farley Jowers, RRT
• Ivey Jowers, LPC, RN

• Community/Behavioral Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.