Journey Psychotherapy, Llc. | |
235 Fallawater Way Suffolk VA 23434-9263 | |
(757) 319-6067 | |
Not Available |
Full Name | Journey Psychotherapy, Llc. |
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Speciality | Counselor - Mental Health |
Location | 235 Fallawater Way, Suffolk, Virginia |
Authorized Official Name and Position | Ellasin Allen (LICENSE PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7579771500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Journey Psychotherapy, Llc. 1530 Breezeport Way Ste 300 Suffolk VA 23435-3753 Ph: (757) 977-1500 | Journey Psychotherapy, Llc. 235 Fallawater Way Suffolk VA 23434-9263 Ph: (757) 319-6067 |
NPI Number | 1942989264 |
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Provider Enumeration Date | 07/13/2023 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942989264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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