Organization Active NPI

Your Path Your Journey Healing Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durham, NC
National Provider Identifier
1659025971
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOUR PATH YOUR JOURNEY HEALING HEALTH, PLLC
Practice address
1802 Martin Luther King Pkwy Ste 107
Durham, NC 27707-3586
Phone
(919) 578-2840
NPI assigned
Feb 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Authorized official

Name
Keshawna Solomon, MANPI 1033481544
Title
Psychologist
Phone
(919) 578-2840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1802 Martin Luther King Pkwy Ste 107
Durham, NC 27707-3586

Mailing address

2 Brynhurst CT
Durham, NC 27713-9357
Phone (828) 275-2034

National Provider Directory

National Provider Directory

Locations

1802 Martin Luther King Pkwy
Ste 107
Durham, NC 27707
Phone (919) 401-5061

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644105600000",
    "number": "1659025971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRYNHURST CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139357",
            "telephone_number": "828-275-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MARTIN LUTHER KING PKWY STE 107",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073586",
            "telephone_number": "919-578-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PATH YOUR JOURNEY HEALING HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "KESHAWNA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "919-578-2840",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.