Healthcare Provider Details

I. General information

NPI: 1275494684
Provider Name (Legal Business Name): JUSTICE JOURNEY WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15618 80TH ST
HOWARD BEACH NY
11414-2523
US

IV. Provider business mailing address

15618 80TH ST
HOWARD BEACH NY
11414-2523
US

V. Phone/Fax

Practice location:
  • Phone: 347-913-3054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JUSTYNA RZEWINSKI
Title or Position: OWNER
Credential:
Phone: 347-913-3054