Healthcare Provider Details

I. General information

NPI: 1154249779
Provider Name (Legal Business Name): VOYAGE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 OWL HOLLOW RD
PULASKI TN
38478-9062
US

IV. Provider business mailing address

PO BOX 176
PULASKI TN
38478-0176
US

V. Phone/Fax

Practice location:
  • Phone: 931-638-4387
  • Fax:
Mailing address:
  • Phone: 931-638-4387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KESHA SMOTHERMAN
Title or Position: OWNER
Credential: MA,LPC-MHSP,NCC,ACS
Phone: 931-638-4387