Provider Demographics
NPI:1306075007
Name:JOURNEY, CHEYENNE M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHEYENNE
Middle Name:M
Last Name:JOURNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:919 CONESTOGA RD
Mailing Address - Street 2:BLDG. 3, STE. 110
Mailing Address - City:ROSEMONT
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:484-380-2080
Mailing Address - Fax:484-380-2087
Practice Address - Street 1:919 CONESTOGA RD
Practice Address - Street 2:BUILDING 3, STE 110
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:484-380-2080
Practice Address - Fax:484-380-2087
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0173981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical