| Journey Well, Llc | |
|
5720 Gateway Blvd #204 Mason OH 45040-1891 | |
| (513) 445-9959 | |
| (513) 725-1276 |
| Full Name | Journey Well, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5720 Gateway Blvd #204, Mason, Ohio |
| Authorized Official Name and Position | Sharon Anchak (OWNER) |
| Authorized Official Contact | 5134459959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Well, Llc 5720 Gateway Blvd #204 Mason OH 45040-1891 Ph: (513) 445-9959 | Journey Well, Llc 5720 Gateway Blvd #204 Mason OH 45040-1891 Ph: (513) 445-9959 |
| NPI Number | 1134577349 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134577349 | NPI | - | NPPES |
| 0345155 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | E.1100183-SUPV (Ohio) | Primary |
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