Healthcare Provider Details

I. General information

NPI: 1811881584
Provider Name (Legal Business Name): GRACEFUL JOURNEYS COUNSELING & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 KERSHAW INDUSTRIAL BLVD STE B
MONTGOMERY AL
36117-5553
US

IV. Provider business mailing address

PO BOX 640091
PIKE ROAD AL
36064-0091
US

V. Phone/Fax

Practice location:
  • Phone: 850-264-1385
  • Fax:
Mailing address:
  • Phone: 850-264-1385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. JUANITA BARNETT
Title or Position: OWNER/THERAPIST
Credential: PHD, LPC, NCC
Phone: 850-264-1385