MEDICARE: NEW JOURNEYS

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	261QA0600X	Adult Day Care Clinic/Center		TX

General Provider Information

NPI Number	:	1649636424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW JOURNEYS

Provider Business Mailing Address
First Line	:	1017 SYCAMORE ST
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-7023
Country	:	US
Telephone Number	:	512-393-4206
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 SYCAMORE ST
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-7023
Country	:	US
Telephone Number	:	512-393-4206
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTI MICHELE LACAZE
Credential	:
Telephone Number	:	512-393-4206

Provider Enumeration Date	:	01/08/2016
Last Update Date	:	07/21/2022

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Directions to “NEW JOURNEYS ” Practice Location

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