Organization Active NPI

Family Journeys, LLC

  • Marriage & Family Therapist
  • Valdosta, GA
National Provider Identifier
1972148617
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FAMILY JOURNEYS, LLC
Practice address
1803 Canterbury Dr Ste C
Valdosta, GA 31602-0505
Phone
(229) 588-4051
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mrs. Laurie Anne Wallace, LMFT
Title
Founder, Therapist
Phone
(229) 242-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1803 Canterbury Dr Ste C
Valdosta, GA 31602-0505

Mailing address

880 S Lakeshore Dr
Valdosta, GA 31605-6429
Phone (229) 242-1700

Other names 1

  • Family Journeys, LLC Former legal business name

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.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1972148617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S LAKESHORE DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056429",
            "telephone_number": "229-242-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CANTERBURY DR STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316020505",
            "telephone_number": "229-588-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY JOURNEYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "FOUNDER, THERAPIST",
        "authorized_official_telephone_number": "229-242-1700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Journeys, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.