JOURNEYS OF LIFE THERAPEUTIC RESOURCES,LLC (NPI# 1578912028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578912028 |
| Entity Type | Organization |
| Organization Name | JOURNEYS OF LIFE THERAPEUTIC RESOURCES,LLC |
| Practice Address |
2025 Ebenezer Rd Ste G Rock Hill SC 29732-1069 |
| Mailing Address |
7043 Red Bud Cir Charlotte NC 28214-9324 |
| Practice Telephone | 7047739003 |
| Mailing Telephone | 7047739003 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | MISTY BROWN PEARSON (OWNER) |
| Authorized Official Telephone | 7047739003 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
8236 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5788 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PC1428 | 05 |
| Street Address |
2025 EBENEZER RD STE G |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999165 | Carolina Therapeutic Services, Inc | Counselor | 2025 Ebenezer Rd Ste G, Rock Hill, SC 29732-1069 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811922 | Sonni Parks | Counselor | 236 Northpark Dr, Rock Hill, SC 29730-4293 | 2020-08-12 |
| 1063064806 | Ashley P Elkins | Counselor | 223 E Main St # 304, Rock Hill, SC 29730-4571 | 2019-07-11 |
| 1760976773 | Jordache Williams | Counselor | 223 E Main St Ste 304, Rock Hill, SC 29730-4571 | 2018-06-22 |
| 1821441106 | Psychological Management Services | Counselor | 2424 India Hook, Suite 100, Rock Hill, SC 29732 | 2016-07-21 |
| 1932589439 | Jacquelyn Grier | Counselor | 1721 Ebenezer Rd Ste 215, Rock Hill, SC 29732-1119 | 2015-06-01 |
| 1265875355 | Shandra R Hall | Counselor | 2106 Celanese Rd, Rock Hill, SC 29732-1306 | 2013-04-09 |
| 1558689273 | Suzanne D Cormier | Counselor | 454 Anderson Rd S Ste 309, Rock Hill, SC 29730-3392 | 2010-05-05 |
| 1528247491 | Elizabeth Jane Burdick | Counselor | 250 Piedmont Boulevard, Rock Hill, SC 29732 | 2007-10-29 |
| 1578772976 | Family Medicine & Psychiatry of The Carolinas At Rock Hill PC | Counselor | 1420 Ebenezer Rd, Suite 105, Rock Hill, SC 29732-2743 | 2007-05-22 |
| 1023164431 | Jamila Safiya Nettles | Counselor | 846 Horseman Dr, Rock Hill, SC 29730-3435 | 2007-01-26 |
| Find all providers in ROCK HILL | ||||
Please comment or provide details below to improve the information on JOURNEYS OF LIFE THERAPEUTIC RESOURCES,LLC.
| 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.