MEDICARE: JOURNEYS EDGE COUNSELING 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1255281432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEYS EDGE COUNSELING LLC

Provider Business Mailing Address
First Line	:	21 MAIN STREET
Second Line	:	SECOND FLOOR OFFICE D
City	:	SPARTA
State	:	NJ
Zip	:	07871
Country	:	US
Telephone Number	:	973-832-0869
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 MAIN STREET
Second Line	:	SECOND FLOOR OFFICE D
City	:	SPARTA
State	:	NJ
Zip	:	07871
Country	:	US
Telephone Number	:	973-832-0869
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT FLORIAN
Credential	:
Telephone Number	:	973-832-0869

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	02/03/2026

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