Healthcare Provider Details

I. General information

NPI: 1295644466
Provider Name (Legal Business Name): HOPEFUL JOURNEYS HEALING & WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16701 MELFORD BLVD STE 4000
BOWIE MD
20715-4305
US

IV. Provider business mailing address

13603 KINGS ISLE CT
BOWIE MD
20721-4237
US

V. Phone/Fax

Practice location:
  • Phone: 240-459-8038
  • Fax:
Mailing address:
  • Phone: 240-459-8038
  • 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 Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SYREETA MOODY
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCPC
Phone: 240-459-8038