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General NPI Number Information
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NPI Number | 1821540220
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Entity Type | Organization
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Legal Business Name | JOURNEY WELLNESS & CONSULTING GROUP, LLC.
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 260 CHAPMAN RD STE 104A
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City | NEWARK
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State | DE
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Zip | 19702-5410
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Country | US
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Telephone | 302-468-7238
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Fax | 302-572-8231
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Provider Business Mailing Address
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Address Line | 260 CHAPMAN RD STE 104A
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City | NEWARK
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State | DE
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Zip | 19702-5410
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Country | US
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Telephone | 302-468-7238
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Fax | 302-572-8231
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Authorized Official
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Title or Position | OWNER/CHIEF& CLINICAL ADMINISTRATOR
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Name | TALENA QUEEN
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Credential | LCSW
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Telephone | 302-468-7238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-001424
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License Number State | DE
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