| Journey Wellness & Consulting Group | |
|
364 E Main St Ste 184 Middletown DE 19709-1482 | |
| (302) 723-8859 | |
| (302) 351-7176 |
| Full Name | Journey Wellness & Consulting Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 364 E Main St, Middletown, Delaware |
| Authorized Official Name and Position | Talena Queen (OWNER/CHIEF& CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 3027238859 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Wellness & Consulting Group 364 E Main St Ste 184 Middletown DE 19709-1482 Ph: (302) 723-8859 | Journey Wellness & Consulting Group 364 E Main St Ste 184 Middletown DE 19709-1482 Ph: (302) 723-8859 |
| NPI Number | 1821540220 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 6002145513 |
|---|---|
| Medicare Enrollment ID | O20220428001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821540220 | NPI | - | NPPES |
| 250466630 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-001424 (Delaware) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Talena Queen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225496862 PECOS PAC ID: 4183955669 Enrollment ID: I20220428001941 |
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