Healthcare Provider Details
I. General information
NPI: 1649132275
Provider Name (Legal Business Name): THE INTERCONNECTED JOURNEY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6315 CHANCELLOR DR
CEDAR FALLS IA
50613-6919
US
IV. Provider business mailing address
6315 CHANCELLOR DR
CEDAR FALLS IA
50613-6919
US
V. Phone/Fax
- Phone: 319-327-7359
- Fax: 319-318-6586
- Phone: 319-327-7359
- Fax: 319-318-6586
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUNNYCHO
TEELING
Title or Position: OWNER
Credential: LMHC
Phone: 319-327-7359