Healthcare Provider Details

I. General information

NPI: 1568246064
Provider Name (Legal Business Name): JOURNEY TO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 10TH AVE
BARRON WI
54812-9337
US

IV. Provider business mailing address

825 10TH AVE
BARRON WI
54812-9337
US

V. Phone/Fax

Practice location:
  • Phone: 605-660-6200
  • Fax:
Mailing address:
  • Phone: 605-660-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: PAULA A HENDRICKSON
Title or Position: OWNER
Credential: LCSW, CSW-PIP
Phone: 605-660-6200