Active NPI
Family Journeys, LLC
- Marriage & Family Therapist
- Valdosta, GA
National Provider Identifier
1972148617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Valdosta, GA
- NPI 1083622468
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"
}
]
}
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- Roohi Farooq
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- Amber Fason, PHARMD
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- Garrett Faucette
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.