Provider Demographics
NPI:1851107569
Name:JOURNEY TO WELLNESS LCSW PLLC
Entity type:Organization
Organization Name:JOURNEY TO WELLNESS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-399-8936
Mailing Address - Street 1:50 W 97TH ST APT 15H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6081
Mailing Address - Country:US
Mailing Address - Phone:646-399-8936
Mailing Address - Fax:929-290-0328
Practice Address - Street 1:50 W 97TH ST APT 15H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6081
Practice Address - Country:US
Practice Address - Phone:646-399-8936
Practice Address - Fax:929-290-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty