JOURNEY FULFILLED LLC. NPI 1659842730

NPI Information

NPI: 1659842730
Provider Name: JOURNEY FULFILLED LLC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1390 VALLEY RD STE 1B
STIRLING, NJ
ZIP 07980
Phone: (908) 350-8643
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JOURNEY FULFILLED LLC. is a mental health (including community mental health center) clinic center in Stirling, NJ. JOURNEY FULFILLED LLC. NPI is 1659842730. The provider is registered as an organization entity type.

The provider's business location address is:

1390 VALLEY RD STE 1B
STIRLING, NJ
ZIP 07980-346
Phone: (908) 350-8643
Fax: (908) 350-8644

The provider's authorized official is Crystal Ann Evans .
The authorized official title is Owner and has the following contact phone number (908) 350-8643.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44SC05796600	OTHER	NEW JERSEY	LCSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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