Healthcare Provider Details

I. General information

NPI: 1245088798
Provider Name (Legal Business Name): DISCOVER THE JOURNEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 DELAWARE WOODS CT
ORLANDO FL
32824-8612
US

IV. Provider business mailing address

134 DELAWARE WOODS CT
ORLANDO FL
32824-8612
US

V. Phone/Fax

Practice location:
  • Phone: 407-256-6595
  • Fax:
Mailing address:
  • Phone: 407-256-6595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEBBYE HAYDETTE LOPEZ-RAMOS
Title or Position: THERAPIST
Credential: MT 4182
Phone: 407-256-6595