Healthcare Provider Details

I. General information

NPI: 1891959318
Provider Name (Legal Business Name): JOURNEY TO NEW BEGINNINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 GETWELL RD BLDG B
SOUTHAVEN MS
38672-6455
US

IV. Provider business mailing address

5915 GETWELL RD BLDG B
SOUTHAVEN MS
38672-6455
US

V. Phone/Fax

Practice location:
  • Phone: 662-349-2979
  • Fax: 662-349-2978
Mailing address:
  • Phone: 662-349-2979
  • Fax: 662-349-2978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHLEY SCHACHTERLE
Title or Position: OWNER
Credential: LCSW
Phone: 662-349-2979