Provider Demographics
NPI:1891710687
Name:JOURNEY'S END COUNSELING, CONSULTING & TRAINING, LLC
Entity type:Organization
Organization Name:JOURNEY'S END COUNSELING, CONSULTING & TRAINING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:407-678-9800
Mailing Address - Street 1:1025 S SEMORAN BLVD
Mailing Address - Street 2:SUITE 1093
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-5523
Mailing Address - Country:US
Mailing Address - Phone:407-678-9800
Mailing Address - Fax:407-678-1975
Practice Address - Street 1:1025 S SEMORAN BLVD
Practice Address - Street 2:SUITE 1093
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-5523
Practice Address - Country:US
Practice Address - Phone:407-678-9800
Practice Address - Fax:407-678-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty