Healthcare Provider Details

I. General information

NPI: 1558292466
Provider Name (Legal Business Name): JOURNEY OF LIFE COMPANION AND SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 ANGLERS CT
SAFETY HARBOR FL
34695-3721
US

IV. Provider business mailing address

1713 ANGLERS CT
SAFETY HARBOR FL
34695-3721
US

V. Phone/Fax

Practice location:
  • Phone: 813-946-2190
  • Fax:
Mailing address:
  • Phone: 813-946-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE LYNNETTE MORRISON
Title or Position: OWNER/OPERATOR
Credential:
Phone: 813-946-2190