Healthcare Provider Details

I. General information

NPI: 1669274544
Provider Name (Legal Business Name): JOURNEY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2229 WINDSOR CREST LOOP
APOPKA FL
32712
US

IV. Provider business mailing address

P. O. BOX 2184
APOPKA FL
32704
US

V. Phone/Fax

Practice location:
  • Phone: 407-534-4821
  • Fax: 321-390-4378
Mailing address:
  • Phone: 407-534-4821
  • Fax: 321-390-4378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MISS YVONNE CAMACHO CARRASQUILLO
Title or Position: PRESIDENT/CEO
Credential: RBT
Phone: 407-534-4821