Organization Active NPI

Journey for Learning Independence for Empowerment

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1770827578
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12075335 Issued in GA
Legal business name
JOURNEY FOR LEARNING INDEPENDENCE FOR EMPOWERMENT
Practice address
1316 Westward Dr SW
Marietta, GA 30008-4028
Phone
(404) 788-6604
NPI assigned
Nov 16, 2012
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Journey Gutierrez-Tatum
Title
Founder/Ceo
Phone
(404) 788-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12075335 GA Primary

Addresses

Primary practice location

1316 Westward Dr SW
Marietta, GA 30008-4028

Mailing address

1316 Westward Dr SW
Marietta, GA 30008-4028
Phone (404) 788-6604

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1770827578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 WESTWARD DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300084028",
            "telephone_number": "404-788-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 WESTWARD DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300084028",
            "telephone_number": "404-788-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY FOR LEARNING INDEPENDENCE FOR EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ-TATUM",
        "authorized_official_first_name": "JOURNEY",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "404-788-6604"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "12075335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.