Journey Into Wellness, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00137400 Issued in NJ

Legal business name

JOURNEY INTO WELLNESS, LLC

Doing business as

Sharon Green

Practice address

4201 Church Rd
Suite 10
Mount Laurel, NJ 08054-2231

Phone

(856) 793-7614

Fax

(856) 437-6345

NPI assigned

Nov 6, 2013

Last updated

Feb 20, 2017By 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

Sharon Green, LCADC

Title

Owner

Phone

(856) 793-7614

Specialties & licenses 1

Addresses

Other names 1

• Sharon Green Doing business as

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1699104018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CHURCH RD",
            "address_2": "SUITE 10",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542231",
            "telephone_number": "856-793-7614",
            "fax_number": "856-437-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CHURCH RD",
            "address_2": "SUITE 10",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542231",
            "telephone_number": "856-793-7614",
            "fax_number": "856-437-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY INTO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-793-7614",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00137400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.