Journey of Life Behavioral Health Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JOURNEY OF LIFE BEHAVIORAL HEALTH SERVICES, LLC

Practice address

2719 Pulaski Hwy Ste 5
Edgewood, MD 21040-1315

Phone

(410) 676-5433

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jazma Coates, CSC-AD

Title

Owner/Executive Director

Phone

(301) 693-9027

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jazma Lee-Coates, LMSW

  • Social Worker
  • Edgewood, MD
  • NPI 1396434189
  NPD

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1871298745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 PULASKI HWY STE 5",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401315",
            "telephone_number": "410-676-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 PULASKI HWY STE 5",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401315",
            "telephone_number": "410-676-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY OF LIFE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "JAZMA",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-693-9027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSC-AD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenkins Lovin Care, LLC
• Thomas Scott Jenkins, D.D.S.
• Johns Hopkins University
• Rachelle Victoria Johnson, LCPC
• Shawnna Johnson, MS, LCPC
• Journeys Embraced LLC
• Peter Ken Kang, MD
• Karing Actions Bring Solutions
• Joan Kariuki, CRNP
• Harinder Kaur

• Substance Abuse Rehabilitation Facility in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.