Healthcare Provider Details

I. General information

NPI: 1982422895
Provider Name (Legal Business Name): JOURNEY N RECOVERY PEER2PEER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 INDEPENDENCE AVE
AKRON OH
44310-1639
US

IV. Provider business mailing address

757 INDEPENDENCE AVE
AKRON OH
44310-1639
US

V. Phone/Fax

Practice location:
  • Phone: 330-962-9670
  • Fax:
Mailing address:
  • Phone: 330-962-9670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TONI ROCHELL CODE JONES
Title or Position: BHS, CDCA III, PS
Credential: CDCALLL CERTIFIED PS
Phone: 330-962-9670