Healthcare Provider Details

I. General information

NPI: 1689421927
Provider Name (Legal Business Name): JOURNEY 2 HEALTH AND TOTAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
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 TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: YOLANDA CONNERS
Title or Position: EXECUTIVE DIRECTOR
Credential: DNP
Phone: 901-676-2026