Healthcare Provider Details

I. General information

NPI: 1336071778
Provider Name (Legal Business Name): JOURNEY TO PURPOSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 PIN OAK DR
DOVER DE
19904-2373
US

IV. Provider business mailing address

32 PIN OAK DR
DOVER DE
19904-2373
US

V. Phone/Fax

Practice location:
  • Phone: 302-279-0406
  • Fax:
Mailing address:
  • Phone: 302-279-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SHANNON SAUNDERS
Title or Position: CEO
Credential:
Phone: 302-279-0406