Healthcare Provider Details

I. General information

NPI: 1386298701
Provider Name (Legal Business Name): NEW JOURNEY FAMILY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 01/18/2020
Certification Date: 01/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 S CHIQUES RD STE J
MANHEIM PA
17545-9195
US

IV. Provider business mailing address

101 W MAIN ST UNIT E
SALUNGA PA
17538-1109
US

V. Phone/Fax

Practice location:
  • Phone: 717-940-0376
  • Fax: 717-389-3370
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier003153522
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK
# 2
Identifier103234991
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 3
Identifier50142743
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerCAPITOL BLUE CROSS

VIII. Authorized Official

Name: LAURIE SCHEIN
Title or Position: OWNER
Credential: LCSW, MFT, RPT
Phone: 717-940-0376