Healthcare Provider Details

I. General information

NPI: 1508788118
Provider Name (Legal Business Name): YOUR JOURNEY THROUGH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8305 SIX FORKS RD STE 207
RALEIGH NC
27615-3007
US

IV. Provider business mailing address

1002 S BLOUNT ST
RALEIGH NC
27601-2620
US

V. Phone/Fax

Practice location:
  • Phone: 919-617-7734
  • Fax:
Mailing address:
  • Phone: 518-307-7104
  • 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: MRS. MARY FISH
Title or Position: OWNER
Credential: LCMHC
Phone: 518-307-7104