JOURNEY OF SELF DISCOVERY, LLC. (NPI# 1467646257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467646257 |
| Entity Type | Organization |
| Organization Name | JOURNEY OF SELF DISCOVERY, LLC. |
| Practice Address |
4319 Covington Hwy Suite 319 Decatur GA 30035-1210 |
| Mailing Address |
5295 Silver Creek Dr Sw Lilburn GA 30047-5359 |
| Practice Telephone | 7708824240 |
| Mailing Telephone | 7708824240 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2016-02-19 |
| Authorized Official Name | WARREN MITCHELL (CEO/FAMILY THERAPIST/LIFE COACH) |
| Authorized Official Telephone | 7708824240 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CSW003554 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 185548077A | 05 |
| Street Address |
4319 COVINGTON HWY SUITE 319 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225051394 | Margo King | Psychologist | 4319 Covington Hwy, Suite 200, Decatur, GA 30035-1210 | 2006-07-26 |
| 1922579770 | Utransport Concierge Services Inc | Secured Medical Transport (VAN) | 4319 Covington Hwy, Suite 309, Decatur, GA 30035 | 2018-12-05 |
| 1740779297 | Jocelyn Moore | Speech-Language Pathologist | 4319 Covington Hwy, Decatur, GA 30035-1210 | 2018-05-09 |
| 1114311743 | Jessica Williams | Chiropractor | 4319 Covington Hwy, Suite 311, Decatur, GA 30035-1210 | 2015-03-20 |
| 1881084291 | Adjusting Health Inc. | Chiropractor | 4319 Covington Hwy, 311, Decatur, GA 30035-1210 | 2015-01-23 |
| 1497090187 | Lift To Better Health, LLC | Non-emergency Medical Transport (VAN) | 4319 Covington Hwy, Ste: 310, Decatur, GA 30035-1214 | 2012-12-06 |
| 1023338027 | Stand, Inc. | Community/Behavioral Health | 4319 Covington Hwy, Suite 117-a, Decatur, GA 30035-1210 | 2010-06-02 |
| 1396979704 | Kiahni Alexis Vann | Counselor | 4319 Covington Hwy, Suite #214, Decatur, GA 30035-1210 | 2009-05-13 |
| 1487898144 | Care Counseling & Psychological Services, LLC | Counselor | 4319 Covington Hwy, Suite 214, Decatur, GA 30035-1210 | 2009-04-26 |
| 1962646927 | Laklieshia Monique Izzard | Counselor | 4319 Covington Hwy, Decatur, GA 30035-1210 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1881236347 | Alabama Department of Mental Health | Community/Behavioral Health | 401 Lee St Ne Ste 150, Decatur, AL 35601-1902 | 2019-10-16 |
| 1124505177 | Christine Cooper | Community/Behavioral Health | 1925 Old Moulton Rd, Decatur, AL 35601-2752 | 2018-07-23 |
| 1356845937 | D. Bennett Counseling and Consulting Services LLC | Community/Behavioral Health | 614 Valley Brook Rd # 120, Decatur, GA 30033-6022 | 2018-03-20 |
| 1437676632 | Ida's Cove | Community/Behavioral Health | 4280 Memorial Dr Ste C, Decatur, GA 30032-1216 | 2017-08-28 |
| 1699226563 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 E Eldorado St, Decatur, IL 62523-1037 | 2016-10-17 |
| 1144771015 | Heritage Behavioral Health Center | Community/Behavioral Health | 1 Educational Park, Decatur, IL 62526-2548 | 2016-10-17 |
| 1245781129 | Heritage Behavioral Health Center | Community/Behavioral Health | 4735 E Cantrell St, Decatur, IL 62521-8720 | 2016-10-17 |
| 1053862920 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 Meadow Terrace Pl, Decatur, IL 62521-5252 | 2016-10-17 |
| 1528519584 | Heritage Behavioral Health Center | Community/Behavioral Health | 1499 W Grand Ave, Decatur, IL 62522-1410 | 2016-10-14 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.