Healthcare Provider Details

I. General information

NPI: 1699476770
Provider Name (Legal Business Name): THERAPEUTIC JOURNEYS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W BIG BEAVER RD STE 300
TROY MI
48084-4725
US

IV. Provider business mailing address

25835 MARY ST
CHESTERFIELD MI
48051-2824
US

V. Phone/Fax

Practice location:
  • Phone: 248-500-6411
  • Fax: 248-243-0226
Mailing address:
  • Phone: 248-500-6411
  • Fax: 586-684-4291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: DARRECIA PRINCESS COOPER
Title or Position: LICENSE PROFESSIONAL COUNSELOR
Credential: MA
Phone: 313-971-6693