| The Journey Center For Healing Arts, Pllc | |
|
100 W Unaka Ave Johnson City TN 37604-5507 | |
| (828) 713-9003 | |
| Not Available |
| Full Name | The Journey Center For Healing Arts, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 100 W Unaka Ave, Johnson City, Tennessee |
| Authorized Official Name and Position | Sybil Smith (OWNER) |
| Authorized Official Contact | 8287139003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Journey Center For Healing Arts, Pllc 100 W Unaka Ave Johnson City TN 37604-5507 Ph: (423) 408-8041 | The Journey Center For Healing Arts, Pllc 100 W Unaka Ave Johnson City TN 37604-5507 Ph: (828) 713-9003 |
| NPI Number | 1013434828 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Medicare PECOS PAC ID | 3779913025 |
|---|---|
| Medicare Enrollment ID | O20200429000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013434828 | NPI | - | NPPES |
| 1376669226 | Other | 1376669226 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2483 (Tennessee) | Primary |
| Provider Name | Justin J Knodel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821225848 PECOS PAC ID: 3971750357 Enrollment ID: I20200430001249 |
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