The Journey Behavioral and Wellness Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE JOURNEY BEHAVIORAL AND WELLNESS CLINIC, LLC

Practice address

1456 Ebenezer Rd
Rock Hill, SC 29732-2339

Phone

(803) 693-6100

Fax

(803) 746-0923

NPI assigned

Jul 30, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Turbeville Stutts, FNP-BC, APRN

Title

Owner

Phone

(843) 687-6768

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Journey Behavioral & Wellness Clinic, LLC Other name

Electronic endpoints 2

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1902450737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 CASTLECOVE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282730500",
            "telephone_number": "843-687-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322339",
            "telephone_number": "803-693-6100",
            "fax_number": "803-746-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOURNEY BEHAVIORAL AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "STUTTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TURBEVILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-687-6768",
        "authorized_official_credential": "FNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "19275",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thejourneyclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4341 Charlotte Hwy Ste 203",
            "city": "Clover",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297107062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thejourneyclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1456 Ebenezer Rd",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Journey Behavioral & Wellness Clinic, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Rock Hill, SC
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.