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General NPI Number Information
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NPI Number | 1265263149
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Entity Type | Organization
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Legal Business Name | YOUR JOURNEY, LLC
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 1122 LADY ST # 1312
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City | COLUMBIA
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State | SC
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Zip | 29201-3218
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Country | US
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Telephone | 803-871-0081
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Fax | 802-214-5892
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Provider Business Mailing Address
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Address Line | 1122 LADY ST # 1312
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City | COLUMBIA
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State | SC
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Zip | 29201-3218
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Country | US
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Telephone | 803-871-0081
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Fax | 802-214-5892
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Authorized Official
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Title or Position | CEO/PSYCHIATRIST
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Name | DR. FELICIA L WALKER
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Credential | MD
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Telephone | 803-871-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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