MEDICARE: JOURNEY PSYCHIATRY & BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1144965054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY PSYCHIATRY & BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	1815 HEALTH CARE DR STE B
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-5377
Country	:	US
Telephone Number	:	727-358-9911
Fax Number	:	727-499-2612

Provider Business Practice Location Address
First Line	:	8849 HAWBUCK ST STE B
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-9805
Country	:	US
Telephone Number	:	727-358-9911
Fax Number	:	727-499-2612

Authorized Official
Title or Position	:	CO-OWNER/CHEIF OF ADMINISTRATION
Name	:	JESSICA BRADY
Credential	:
Telephone Number	:	727-358-9911

Provider Enumeration Date	:	05/04/2022
Last Update Date	:	12/11/2025

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