Provider Demographics
NPI:1821540220
Name:JOURNEY WELLNESS & CONSULTING GROUP, LLC.
Entity type:Organization
Organization Name:JOURNEY WELLNESS & CONSULTING GROUP, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF& CLINICAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-468-7238
Mailing Address - Street 1:260 CHAPMAN RD STE 104A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5410
Mailing Address - Country:US
Mailing Address - Phone:302-468-7238
Mailing Address - Fax:302-572-8231
Practice Address - Street 1:260 CHAPMAN RD STE 104A
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5410
Practice Address - Country:US
Practice Address - Phone:302-468-7238
Practice Address - Fax:302-572-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0014241041C0700X
261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE250466630Medicaid