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General NPI Number Information
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NPI Number | 1144965054
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Entity Type | Organization
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Legal Business Name | JOURNEY PSYCHIATRY & BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 8849 HAWBUCK ST STE B
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City | TRINITY
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State | FL
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Zip | 34655-9805
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Country | US
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Telephone | 727-358-9911
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Fax | 727-499-2612
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Provider Business Mailing Address
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Address Line | 1815 HEALTH CARE DR STE B
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City | TRINITY
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State | FL
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Zip | 34655-5377
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Country | US
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Telephone | 727-358-9911
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Fax | 727-499-2612
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Authorized Official
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Title or Position | CO-OWNER/CHEIF OF ADMINISTRATION
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Name | JESSICA BRADY
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Credential |
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Telephone | 727-358-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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