MEDICARE: OUR INNER JOURNEY

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1659228518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OUR INNER JOURNEY

Provider Business Mailing Address
First Line	:	1629 K ST NW STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1631
Country	:	US
Telephone Number	:	202-618-5875
Fax Number	:	202-618-5875

Provider Business Practice Location Address
First Line	:	5540 CENTERVIEW DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-3363
Country	:	US
Telephone Number	:	919-925-4998
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ LMFT
Name	:	SHARAI BRADSHAW
Credential	:	LMFT
Telephone Number	:	202-618-5875

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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