Healthcare Provider Details

I. General information

NPI: 1487227070
Provider Name (Legal Business Name): JOURNEY SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E WASHINGTON ST STE 102103
PHOENIX AZ
85034-1162
US

IV. Provider business mailing address

PO BOX 20712
PHOENIX AZ
85036-0712
US

V. Phone/Fax

Practice location:
  • Phone: 602-601-4231
  • Fax: 602-801-2770
Mailing address:
  • Phone: 602-387-5102
  • Fax: 602-801-2770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: APRIL J WINSTON
Title or Position: CEO
Credential:
Phone: 602-387-5102