Healthcare Provider Details

I. General information

NPI: 1629996012
Provider Name (Legal Business Name): JOURNEY TO CHANGE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65304 SOJOURN TRL
MONTROSE CO
81403-8743
US

IV. Provider business mailing address

65304 SOJOURN TRL
MONTROSE CO
81403-8743
US

V. Phone/Fax

Practice location:
  • Phone: 570-939-7047
  • Fax:
Mailing address:
  • Phone: 570-939-7047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANN CATHERINE ANDERSON
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 570-939-7047