Healthcare Provider Details

I. General information

NPI: 1952274243
Provider Name (Legal Business Name): LIFE JOURNEY CONSULTANT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 AMBLER CT
HARRINGTON DE
19952-3276
US

IV. Provider business mailing address

911 AMBLER CT
HARRINGTON DE
19952-3276
US

V. Phone/Fax

Practice location:
  • Phone: 302-331-4782
  • Fax:
Mailing address:
  • Phone: 302-331-4782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JERMEIN PAMELA RENAY BELL
Title or Position: CEO
Credential: LCSW
Phone: 302-331-4782