Healthcare Provider Details

I. General information

NPI: 1407709215
Provider Name (Legal Business Name): JOURNEY WELL PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S ARROYO LN
GILBERT AZ
85295-4650
US

IV. Provider business mailing address

PO BOX 1388
HIGLEY AZ
85236-1388
US

V. Phone/Fax

Practice location:
  • Phone: 614-670-3522
  • Fax:
Mailing address:
  • Phone: 614-670-3522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY JORDAN
Title or Position: CEO
Credential: PMHNP
Phone: 614-670-3522