Healthcare Provider Details

I. General information

NPI: 1023640661
Provider Name (Legal Business Name): JOURNEY 2 HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 PARK AVE STE 202
MEMPHIS TN
38119-3505
US

IV. Provider business mailing address

5200 PARK AVE STE 202
MEMPHIS TN
38119-3505
US

V. Phone/Fax

Practice location:
  • Phone: 901-676-2026
  • Fax: 901-676-2027
Mailing address:
  • Phone: 901-676-2026
  • Fax: 901-676-2027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. YOLANDA LAVETTE CONNERS
Title or Position: OWNER
Credential: APRN PMHNP-BC, FNP-C
Phone: 901-676-2026