Organization Active NPI

Guided Journeys Outreach Services, LLC

  • Community/Behavioral Health Agency
  • Grand Prairie, TX
National Provider Identifier
1821517707
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GUIDED JOURNEYS OUTREACH SERVICES, LLC
Practice address
2629 S Grand Peninsula Dr Apt 102
Grand Prairie, TX 75054-7246
Phone
(804) 986-3665
NPI assigned
Sep 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marcus Lewis
Title
Owner
Phone
(804) 986-3665

Specialties & licenses 1

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

Addresses

Primary practice location

2629 S Grand Peninsula Dr Apt 102
Grand Prairie, TX 75054-7246

Mailing address

2629 S Grand Peninsula Dr Apt 102
Grand Prairie, TX 75054-7246
Phone (804) 986-3665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821517707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 S GRAND PENINSULA DR APT 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547246",
            "telephone_number": "804-986-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 S GRAND PENINSULA DR APT 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547246",
            "telephone_number": "804-986-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED JOURNEYS OUTREACH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-986-3665"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.