Provider Demographics
NPI:1124990692
Name:JOURNEY TOGETHER COUNSELING
Entity type:Organization
Organization Name:JOURNEY TOGETHER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:LONGTINE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:218-849-7524
Mailing Address - Street 1:808 WASHINGTON AVE STE 22D
Mailing Address - Street 2:
Mailing Address - City:DETROIT LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:56501-3068
Mailing Address - Country:US
Mailing Address - Phone:218-849-7524
Mailing Address - Fax:218-203-0441
Practice Address - Street 1:808 WASHINGTON AVE STE 22D
Practice Address - Street 2:
Practice Address - City:DETROIT LAKES
Practice Address - State:MN
Practice Address - Zip Code:56501-3068
Practice Address - Country:US
Practice Address - Phone:218-849-7524
Practice Address - Fax:218-203-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health