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General NPI Number Information
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NPI Number | 1033075635
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Entity Type | Organization
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Legal Business Name | JOURNEY TO JOY COLLECTIVE
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 255 S 17TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6231
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Country | US
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Telephone | 856-979-9769
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Fax |
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Provider Business Mailing Address
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Address Line | 105 DARLINGTON CT
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City | NEW PROVIDENCE
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State | PA
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Zip | 17560-9005
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Country | US
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Telephone | 856-979-9769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTLE SMALL-WILLIAMS
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Credential | M.ED
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Telephone | 856-979-9769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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