Journey to Your Destiny, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOURNEY TO YOUR DESTINY, PLLC

Practice address

2404 Sandy River Lane Apt 103
Charlotte, NC 28273

Phone

(910) 431-6163

Fax

(704) 327-5547

NPI assigned

Dec 27, 2021

Last updated

Feb 9, 2022By 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

Donnetta L Evans, LCSW

Title

Psychotherapist/ Ceo

Phone

(910) 431-6163

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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.

• Donnetta Lafaye Graham, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1932514601
  NPD

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1578223954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 SOUTH BLVD UNIT 241883",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282240327",
            "telephone_number": "704-430-5547",
            "fax_number": "704-327-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 SANDY RIVER LANE APT 103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "910-431-6163",
            "fax_number": "704-327-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO YOUR DESTINY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONNETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/ CEO",
        "authorized_official_telephone_number": "910-431-6163",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932514601",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578223954",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "704-327-5547",
            "affiliation": "N",
            "endpointDescription": "business  secured fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5949 Sullins Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282142137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frederick Michael Joubert, DDS
• Shelby Diachenko Jouppi, PT, DPT, EP-C
• Journey to Better Living Counseling and Consultation, PLLC
• Journey to Growth LLC
• Journey to Life, Inc
• Journey, Inc.
• Joann Goring Journigan, M.D.
• Joy Braunlich LCSW PA
• Joy Braunlich LCSW, Sap
• Joy Granetz PHD PLLC (Alderwood Psychological Services)

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.