Healthcare Provider Details

I. General information

NPI: 1780544643
Provider Name (Legal Business Name): JOURNEY TO HEALTHY LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 WOODLAKE VILLAGE CIR
MIDLOTHIAN VA
23112-2200
US

IV. Provider business mailing address

11 S 12TH ST # 2022
RICHMOND VA
23219-4053
US

V. Phone/Fax

Practice location:
  • Phone: 804-501-9567
  • Fax: 205-927-0854
Mailing address:
  • Phone: 804-501-9567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FEITIMA WASHINGTON
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 724-884-5492