The Journey Behavioral And Wellness Clinic, LLC
Clinic/Center in Rock Hill, SC. Organization (NPI-2).
NPI number1902450737
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1902450737
- Entity type
- Organization (NPI-2)
- Legal business name
- The Journey Behavioral And Wellness Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2019
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Other names
- The Journey Behavioral & Wellness Clinic, LLC (Other Name)
Practice location
1456 Ebenezer RdRock Hill, SC 29732-2339
Phone 803-693-6100 · Fax 803-746-0923
Mailing address
5825 Castlecove RdCharlotte, NC 28273-0500
Phone 843-687-6768
Authorized official
Jennifer Turbeville Stutts
Owner
8436876768
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