NPIMap

Organization Active NPI

Journey to Freedom Inc

  • Community/Behavioral Health Agency
  • Gaylord, MI
National Provider Identifier
1609030386
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L1298279 Issued in MI
Legal business name
JOURNEY TO FREEDOM INC
Practice address
1349 S Otsego Ave
Suite #2
Gaylord, MI 49735-9170
Phone
(989) 705-2343
Fax
(989) 732-8270
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Mrs. Violet M. Luebs, LLMSW
Title
Executive Director
Phone
(989) 705-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L1298279 MI Primary

Addresses

Primary practice location

1349 S Otsego Ave
Suite #2
Gaylord, MI 49735-9170

Mailing address

1349 S Otsego Ave
Suite #2
Gaylord, MI 49735-9170
Phone (989) 705-2343

National Provider Directory

National Provider Directory
Tax ID family
Journey to Freedom Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1349 S Otsego Ave
Ste 2
Gaylord, MI 49735
Phone (989) 705-2343

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1609030386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S OTSEGO AVE",
            "address_2": "SUITE #2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359170",
            "telephone_number": "989-705-2343",
            "fax_number": "989-732-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S OTSEGO AVE",
            "address_2": "SUITE #2",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359170",
            "telephone_number": "989-705-2343",
            "fax_number": "989-732-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO FREEDOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "LUEBS",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-705-2343",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "L1298279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.