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General NPI Number Information
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NPI Number | 1801558424
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Entity Type | Organization
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Legal Business Name | JOURNEY COUNSELING PLLC
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 2922 AUDREY DR STE 111
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City | GASTONIA
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State | NC
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Zip | 28054-7268
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Country | US
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Telephone | 704-675-0716
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Fax |
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Provider Business Mailing Address
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Address Line | 4075 CREEKSTONE TRCE
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City | GASTONIA
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State | NC
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Zip | 28056-4312
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Country | US
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Telephone | 704-675-0716
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JASMINE COLEGROVE
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Credential | MSW, LCSW
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Telephone | 704-675-0716
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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