MEDICARE: JOURNEY TO THRIVE COUNSELING, 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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1699542605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY TO THRIVE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2395 LANCASTER PIKE FL 1
Second Line	:
City	:	READING
State	:	PA
Zip	:	19607-2375
Country	:	US
Telephone Number	:	484-202-3858
Fax Number	:

Provider Business Practice Location Address
First Line	:	2395 LANCASTER PIKE FL 1
Second Line	:
City	:	READING
State	:	PA
Zip	:	19607-2375
Country	:	US
Telephone Number	:	484-202-3858
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	KELLY BRUBAKER
Credential	:	LMFT
Telephone Number	:	484-202-3858

Provider Enumeration Date	:	12/08/2023
Last Update Date	:	04/03/2024

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