MEDICARE: LIFE JOURNEYS, INC

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	251C00000X	Developmentally Disabled Services Day Training Agency	3409338	NC
2	251S00000X	Community/Behavioral Health Agency	3409338	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497823686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE JOURNEYS, INC

Provider Business Mailing Address
First Line	:	3700 NATIONAL DR
Second Line	:	SUITE 207
City	:	RALEIGH
State	:	NC
Zip	:	27612-4842
Country	:	US
Telephone Number	:	919-782-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 NATIONAL DR
Second Line	:	SUITE 207
City	:	RALEIGH
State	:	NC
Zip	:	27612-4842
Country	:	US
Telephone Number	:	919-782-0050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT SCOTT SEWELL
Credential	:
Telephone Number	:	919-782-0050

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	09/11/2025

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