Healthcare Provider Details

I. General information

NPI: 1821927047
Provider Name (Legal Business Name): A JOURNEY TO RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 RIVERSIDE DR STE B
SALISBURY MD
21801-5368
US

IV. Provider business mailing address

543 RIVERSIDE DR STE B
SALISBURY MD
21801-5368
US

V. Phone/Fax

Practice location:
  • Phone: 443-907-8613
  • Fax:
Mailing address:
  • Phone: 443-907-8613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHEMIEKA JONES
Title or Position: PROGRAM DIRECTOR
Credential: CAC-AD
Phone: 443-907-8631