Provider Demographics
NPI:1104532092
Name:COMPANIONING YOUR JOURNEY, PLLC
Entity type:Organization
Organization Name:COMPANIONING YOUR JOURNEY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC, NCC
Authorized Official - Phone:720-362-9192
Mailing Address - Street 1:966 PLUM CREEK CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4384
Mailing Address - Country:US
Mailing Address - Phone:720-362-9192
Mailing Address - Fax:
Practice Address - Street 1:966 PLUM CREEK CT
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4384
Practice Address - Country:US
Practice Address - Phone:720-362-9192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1053942748OtherCURRENT INDIVIDUAL NPI NUMBER