Organization Active NPI

Journey Through Recovery to Wellness, LLC

  • Community/Behavioral Health Agency
  • Jonesboro, GA
National Provider Identifier
1710385372
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC006967 Issued in GA
Legal business name
JOURNEY THROUGH RECOVERY TO WELLNESS, LLC
Practice address
217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169
Phone
(770) 765-3252
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Lakeisha Marie Varner, LPC
Title
Owner
Phone
(770) 765-3252

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X LPC006967 GA
Community/Behavioral Health Agency 251S00000X LPC006967 GA Primary

Addresses

Primary practice location

217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169

Mailing address

217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169
Phone (770) 765-3252

Other identifiers 1

IdentifierTypeStateIssuer
003152492AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1710385372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD STE A2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "770-765-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD STE A2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "770-765-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY THROUGH RECOVERY TO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-765-3252",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": "LPC006967",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC006967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003152492A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.