Provider Demographics
NPI:1851133177
Name:THE JOURNEY TO PEACE OF MIND COUNSELING, LLC
Entity type:Organization
Organization Name:THE JOURNEY TO PEACE OF MIND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELANA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, RPT
Authorized Official - Phone:660-207-8182
Mailing Address - Street 1:106 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64724-1402
Mailing Address - Country:US
Mailing Address - Phone:660-207-8182
Mailing Address - Fax:660-476-5749
Practice Address - Street 1:106 W 4TH ST
Practice Address - Street 2:
Practice Address - City:APPLETON CITY
Practice Address - State:MO
Practice Address - Zip Code:64724-1402
Practice Address - Country:US
Practice Address - Phone:660-207-8182
Practice Address - Fax:660-476-5749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty