MEDICARE: JOURNEY CREEK COUNSELING AND CONSULTING

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1912670415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY CREEK COUNSELING AND CONSULTING

Provider Business Mailing Address
First Line	:	17200 CHENAL PKWY STE 300
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-5965
Country	:	US
Telephone Number	:	501-476-5531
Fax Number	:	501-476-5531

Provider Business Practice Location Address
First Line	:	25 RAHLING CIR STE D
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-6000
Country	:	US
Telephone Number	:	501-476-5531
Fax Number	:	501-476-5531

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSEPH ALAN ROWELL
Credential	:	LPC
Telephone Number	:	870-834-8107

Provider Enumeration Date	:	07/29/2021
Last Update Date	:	02/02/2024

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