| Journey Forward, Llc | |
|
2611 Forest Dr Suite 129 Columbia SC 29204-2379 | |
| (803) 251-0104 | |
| (866) 344-1607 |
| Full Name | Journey Forward, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2611 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Wanda Nunn (CEO/THERAPIST) |
| Authorized Official Contact | 8032510104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Forward, Llc 2611 Forest Dr Suite 129 Columbia SC 29204-2379 Ph: (803) 251-0104 | Journey Forward, Llc 2611 Forest Dr Suite 129 Columbia SC 29204-2379 Ph: (803) 251-0104 |
| NPI Number | 1033425293 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 08/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033425293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4679 (South Carolina) | Primary |
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