MEDICARE: A JOURNEY TO WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1558299248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A JOURNEY TO WELLNESS LLC

Provider Business Mailing Address
First Line	:	510 BARNSBURY ST
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-3164
Country	:	US
Telephone Number	:	443-759-0324
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 BARNSBURY ST
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-3164
Country	:	US
Telephone Number	:	443-759-0324
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. AISHA JACKSON
Credential	:
Telephone Number	:	443-442-4242

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “A JOURNEY TO WELLNESS LLC ” Practice Location

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