Healthcare Provider Details

I. General information

NPI: 1164350518
Provider Name (Legal Business Name): NEW JOURNEY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 BOWSTRING RD
MONUMENT CO
80132-8627
US

IV. Provider business mailing address

1605 BOWSTRING RD
MONUMENT CO
80132-8627
US

V. Phone/Fax

Practice location:
  • Phone: 719-426-7984
  • Fax:
Mailing address:
  • Phone: 719-426-7984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: TERI ODLE
Title or Position: COUNSELOR/PRACTICE OWNER
Credential: LPC
Phone: 719-426-7984