Provider Demographics
NPI:1467273482
Name:JOURNEY COUNSELING AND CASE MANAGEMENT, LLC
Entity type:Organization
Organization Name:JOURNEY COUNSELING AND CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:JUDD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:307-258-4868
Mailing Address - Street 1:701 ANTLER DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1717
Mailing Address - Country:US
Mailing Address - Phone:307-333-7522
Mailing Address - Fax:
Practice Address - Street 1:701 ANTLER DR STE 104
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1717
Practice Address - Country:US
Practice Address - Phone:307-333-7522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services