Healthcare Provider Details

I. General information

NPI: 1376456152
Provider Name (Legal Business Name): JOURNEYBEWELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NORTHEASTERN BLVD STE 180
NASHUA NH
03062-3139
US

IV. Provider business mailing address

11 NORTHEASTERN BLVD STE 180
NASHUA NH
03062-3139
US

V. Phone/Fax

Practice location:
  • Phone: 351-300-5228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DIMARIS RAMPERSAUD
Title or Position: PMHNP-BC
Credential: NP
Phone: 351-300-5228