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NPI Code Detail

MEDICARE: JOURNEY COMPLETE CARE

MEDICARE: JOURNEY COMPLETE CARE
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2251S00000XCommunity/Behavioral Health Agency
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1811722861
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOURNEY COMPLETE CARE
Provider Business Mailing Address
First Line : 801 S RANCHO DR STE B1B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3871
Country : US
Telephone Number : 818-665-5199
Fax Number :
Provider Business Practice Location Address
First Line : 801 S RANCHO DR STE B1B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3871
Country : US
Telephone Number : 818-665-5199
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TREVOR CURRY
Credential : LCSW
Telephone Number : 818-665-5199
Provider Enumeration Date : 09/06/2024
Last Update Date : 09/06/2024

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Directions to “JOURNEY COMPLETE CARE ” Practice Location

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