Provider Demographics
NPI:1487491122
Name:HEALTH JOURNEY CLINICAL, LLC
Entity type:Organization
Organization Name:HEALTH JOURNEY CLINICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN'NEASHA
Authorized Official - Middle Name:LASHAN
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCPS
Authorized Official - Phone:614-532-0258
Mailing Address - Street 1:471 MORRISON RD STE K1
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3365
Mailing Address - Country:US
Mailing Address - Phone:614-532-0258
Mailing Address - Fax:614-334-5101
Practice Address - Street 1:471 MORRISON RD STE K1
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3365
Practice Address - Country:US
Practice Address - Phone:614-532-0258
Practice Address - Fax:614-334-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service