Provider Demographics
NPI:1588545016
Name:CLEAR JOURNEY COUNSELING & PROFESSIONAL SERVICES, LLC
Entity type:Organization
Organization Name:CLEAR JOURNEY COUNSELING & PROFESSIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOYENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWISYE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-749-5954
Mailing Address - Street 1:1422 GRANVILLE PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-4202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1422 GRANVILLE PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63112-4202
Practice Address - Country:US
Practice Address - Phone:314-680-7306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty