Healthcare Provider Details

I. General information

NPI: 1144965054
Provider Name (Legal Business Name): JOURNEY PSYCHIATRY & BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8849 HAWBUCK ST STE B
TRINITY FL
34655-9805
US

IV. Provider business mailing address

1815 HEALTH CARE DR STE B
TRINITY FL
34655-5377
US

V. Phone/Fax

Practice location:
  • Phone: 727-358-9911
  • Fax: 727-499-2612
Mailing address:
  • Phone: 727-358-9911
  • Fax: 727-499-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BRADY
Title or Position: CO-OWNER/CHEIF OF ADMINISTRATION
Credential:
Phone: 727-358-9911