Healthcare Provider Details

I. General information

NPI: 1477080976
Provider Name (Legal Business Name): JOURNEYPURE MURFREESBORO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1139 NW BROAD ST STE 102
MURFREESBORO TN
37129-2390
US

IV. Provider business mailing address

5080 FLORENCE RD
MURFREESBORO TN
37129-2922
US

V. Phone/Fax

Practice location:
  • Phone: 615-907-5037
  • Fax:
Mailing address:
  • Phone: 615-907-5037
  • Fax: 615-907-5885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE BOWERS
Title or Position: DIRECTOR OF RCM
Credential:
Phone: 615-715-4214