| Grateful Journey Llc | |
|
4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 | |
| (540) 772-1872 | |
| (540) 772-4830 |
| Full Name | Grateful Journey Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4220 Cypress Park Dr Ste B, Roanoke, Virginia |
| Authorized Official Name and Position | Karen Leigh Burroughs (OWNER/THERAPIST) |
| Authorized Official Contact | 5403146107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grateful Journey Llc 3768 Southway Dr Sw Apt 88 Roanoke VA 24014-2247 Ph: (540) 314-6107 | Grateful Journey Llc 4220 Cypress Park Dr Ste B Roanoke VA 24018-8403 Ph: (540) 772-1872 |
| NPI Number | 1144987900 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144987900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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