NPIMap

Organization Active NPI

Iman Healing Journey LLC

  • Mental Health Counselor
  • Homewood, AL
National Provider Identifier
1760258065
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IMAN HEALING JOURNEY LLC
Practice address
105 Vulcan Rd Ste 300
Homewood, AL 35209-4701
Phone
(205) 931-5056
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Adezza Dubose-Williams, LPCNPI 1013661206
Title
Ceo
Phone
(205) 261-8305

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

105 Vulcan Rd Ste 300
Homewood, AL 35209-4701

Mailing address

1401 Doug Blvd Ste 107
Birmingham, AL 35242
Phone (205) 931-5056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1760258065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DOUG BLVD STE 107",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-931-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VULCAN RD STE 300",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094701",
            "telephone_number": "205-931-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAN HEALING JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "DUBOSE-WILLIAMS",
        "authorized_official_first_name": "ADEZZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-261-8305",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.