Healthcare Provider Details

I. General information

NPI: 1114877529
Provider Name (Legal Business Name): MASTER YOUR JOURNEY WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3012 SHEER BLISS WAY
ORANGE PARK FL
32065-0026
US

IV. Provider business mailing address

3012 SHEER BLISS WAY
ORANGE PARK FL
32065-0026
US

V. Phone/Fax

Practice location:
  • Phone: 904-729-8972
  • Fax: 904-729-8972
Mailing address:
  • Phone: 904-729-8972
  • Fax: 904-729-8972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELANIE DANILES
Title or Position: THERPRISTT/OWNER
Credential: LMHC
Phone: 904-729-8972