Healthcare Provider Details

I. General information

NPI: 1194663088
Provider Name (Legal Business Name): THE UNWRITTEN JOURNEY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5790 RACCOON RUN CT
WALDORF MD
20601-5417
US

IV. Provider business mailing address

5790 RACCOON RUN CT
WALDORF MD
20601-5417
US

V. Phone/Fax

Practice location:
  • Phone: 904-535-7867
  • Fax:
Mailing address:
  • Phone: 904-535-7867
  • 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: ARIANA BENITA COLEMAN
Title or Position: THERAPIST
Credential: LGPC
Phone: 904-535-7867