JOURNEYPURE COLUMBIA LLC (NPI# 1568996155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568996155 |
| Entity Type | Organization |
| Organization Name | JOURNEYPURE COLUMBIA LLC |
| Practice Address |
502 N Garden St Suite 107 Columbia TN 38401-3238 |
| Mailing Address |
502 N Garden St Suite 104 Columbia TN 38401-3238 |
| Practice Telephone | 6159075037 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | KEVIN D LEE (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6159733500 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOURNEYPURE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
502 N GARDEN ST SUITE 107 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518499771 | Tuesday and Company, Inc. | Point of Service | 502 N Garden St, Suite 104, Columbia, TN 38401-3238 | 2017-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143485 | Landmark Recovery of Columbia LLC | Substance Abuse Rehabilitation Facility | 140 Flora Dr, Columbia, SC 29223-5814 | 2020-01-13 |
| 1679751051 | Place of Hope, Inc. | Substance Abuse Rehabilitation Facility | 105 N James Campbell Blvd, Columbia, TN 38401-2605 | 2008-02-07 |
| 1770628828 | Family Counseling Center of Missouri, Inc. | Substance Abuse Rehabilitation Facility | 303 N 10th St, Columbia, MO 65201-4901 | 2007-02-20 |
| 1952446700 | Family Counseling Center of Missouri, Inc | Substance Abuse Rehabilitation Facility | 201 N Garth Ave, Columbia, MO 65203-4105 | 2007-02-20 |
| 1437213634 | Phoenix Programs, Inc. | Substance Abuse Rehabilitation Facility | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2006-12-21 |
| 1568096329 | Tanya C Hatton | Substance Abuse Rehabilitation Facility | 2711 Colonial Dr, Columbia, SC 29203-6818 | 2020-03-02 |
| 1194384289 | American Psychiatric Group Pa | Substance Abuse Rehabilitation Facility | 10632 Little Patuxent Pkwy Ste 104, Columbia, MD 21044-6217 | 2019-06-11 |
| 1699280644 | Midlands Neurology & Pain Assoc, P.a | Substance Abuse Rehabilitation Facility | 2601 Millwood Ave, Columbia, SC 29205-1218 | 2017-12-12 |
| 1265757991 | Phoenix Programs, Inc. | Substance Abuse Rehabilitation Facility | 90 E Leslie Ln, Columbia, MO 65202-1535 | 2010-04-06 |
| 1568671030 | South Carolina Dept of Mental Health Accounting Office | Substance Abuse Rehabilitation Facility | 610 Faison Dr, Columbia, SC 29203-3218 | 2007-05-22 |
| Find all providers in COLUMBIA | ||||
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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.