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1023963964 NPI number — JOURNEY OF SUPPORT BEHAVIORAL HEALTH LLC

NPI Number: 1023963964
Health Care Provider/Practitioner: JOURNEY OF SUPPORT BEHAVIORAL HEALTH LLC

Information about “1023963964” NPI (JOURNEY OF SUPPORT BEHAVIORAL HEALTH LLC) exists in 1023963964 in HTML format HTML  |  1023963964 in plain Text format TXT  |  1023963964 in PDF (Portable Document Format) PDF  |  1023963964 in an XML format XML  formats.

NPI Number : 1023963964 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023963964",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JOURNEY OF SUPPORT BEHAVIORAL HEALTH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5115 SALEM ST # B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RICHMOND",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23231-3747",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-300-8508",
    "MailingAddressFaxNumber": "804-207-6313",
    "FirstLinePracticeLocationAddress": "5115 SALEM ST # B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23231-3747",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-300-8508",
    "PracticeLocationAddressFaxNumber": "804-207-6313",
    "EnumerationDate": "03/04/2026",
    "LastUpdateDate": "03/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WATSON",
    "AuthorizedOfficialFirstName": "KEONNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "804-665-6276",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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