Journeypure Columbia LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JOURNEYPURE COLUMBIA LLC

Practice address

502 N Garden St
Suite 107
Columbia, TN 38401-3238

Phone

(615) 907-5037

NPI assigned

Apr 20, 2017

Organization subpart

Yes

Parent organization

JOURNEYPURE INCAs reported in NPPES

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

Authorized official

Name

Kevin D Lee

Title

President and Ceo

Phone

(615) 973-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1568996155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N GARDEN ST",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N GARDEN ST",
            "address_2": "SUITE 107",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013238",
            "telephone_number": "615-907-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYPURE COLUMBIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEYPURE INC",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "615-973-3500"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Columbia, TN
• Providers in Columbia, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.