Healthcare Provider Details

I. General information

NPI: 1356250922
Provider Name (Legal Business Name): A JOURNEY TO HOPE COUNSELING AND CONSULTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N 19TH ST
MONROE LA
71201-4942
US

IV. Provider business mailing address

PO BOX 921
RUSTON LA
71273-0921
US

V. Phone/Fax

Practice location:
  • Phone: 318-475-5007
  • Fax:
Mailing address:
  • Phone: 318-475-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: STACEY N HARRELL
Title or Position: OWNER/PROVIDER
Credential: LCSW
Phone: 318-475-5007