Active NPI
Journey Through Recovery to Wellness, LLC
- Community/Behavioral Health Agency
- Jonesboro, GA
National Provider Identifier
1710385372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC006967
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003152492A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.