A LIFE'S JOURNEY, INC. (NPI# 1740476589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740476589 |
| Entity Type | Organization |
| Organization Name | A LIFE'S JOURNEY, INC. |
| Other Organization Name | JULIE SHORTRIDGE |
| Practice Address |
512 Grayson Pkwy Grayson GA 30017-1216 |
| Mailing Address |
1810 Westwind Dr Cumming GA 30041-7298 |
| Practice Telephone | 4042745209 |
| Practice Fax Number | 7708185607 |
| Mailing Telephone | 4042745209 |
| Mailing Fax Number | 7708185607 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | JULIE SHORTRIDGE (OWNER/THERAPIST) |
| Authorized Official Telephone | 4042745209 |
| Authorized Official Credential | MA, LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC003547 | GA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Julie Shortridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609061373 | A Life's Journey, Inc. | Counselor | 512 Grayson Pkwy, Grayson, GA 30017-1216 | 2007-09-06 |
| Street Address |
512 GRAYSON PKWY |
| City | GRAYSON |
| State | GA |
| Zip Code | 30017-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609061373 | A Life's Journey, Inc. | Counselor | 512 Grayson Pkwy, Grayson, GA 30017-1216 | 2007-09-06 |
| 1447495536 | Beatrice Lea Gibson | Reflexologist | 512 Grayson Pkwy, Grayson, GA 30017-1216 | 2008-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140859 | Butterfly Development, LLC | Community Based Residential Treatment Facility, Mental Illness | 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 | 2018-07-19 |
| 1811417132 | Yva Gauthier | Nurse Practitioner | 1620 Terry Mill Lane, Grayson, GA 30017 | 2017-06-27 |
| 1023341518 | Christine R Petro, Psy.d., LLC | Psychologist | 69 Grayson New Hope Rd, Grayson, GA 30017 | 2009-09-15 |
| 1902097579 | Zain Odeh Dabbas | Dentist | 2594 Loganviile Hwy, # 102, Grayson, GA 30017 | 2007-08-07 |
| 1619078276 | Primary Foot & Ankle Care | Podiatrist | 862 Amber Hill Ct, Grayson, GA 30017 | 2006-09-26 |
| 1700878170 | James Michael Long | Dentist | 2518 Loganville Hwy, Grayson, GA 30017 | 2005-08-22 |
| 1629556717 | Mason Moriah Earp | Physical Therapist | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-08-01 |
| 1811482201 | Matthew Ntomoo Lo | Physical Therapy Assistant | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-06-27 |
| 1144460668 | Alisa M Nelson-wade | Dentist | 2219 Loganville Hwy, Hwy 20, Grayson, GA 30017 | 2009-02-24 |
| 1003321662 | Grace Care Ambulance Transport, LLC | Ambulance | 516 Sosebee Farm Rd Unit 531, Grayson, GA 30017-0118 | 2017-12-05 |
| Find all providers in zip 30017 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801212337 | Laura 'kay' Watson | Counselor | 2047 Grayson Hwy # 20, Grayson, GA 30017-1242 | 2014-03-07 |
| 1609061373 | A Life's Journey, Inc. | Counselor | 512 Grayson Pkwy, Grayson, GA 30017-1216 | 2007-09-06 |
| 1194331157 | Richard J Lee II | Counselor | 840 Interstate Dr, Grayson, KY 41143-1768 | 2020-09-16 |
| 1396263588 | Michael Thomas Bergquist | Counselor | 1637 Athens Hwy, Grayson, GA 30017-1768 | 2017-09-07 |
| 1457802373 | Delia Harriet Williams | Counselor | 1637 Athens Hwy, Grayson, GA 30017-1768 | 2016-10-14 |
| 1194121137 | Gara Wilson-casteel | Counselor | 59 Fivco Ct, Grayson, KY 41143-6107 | 2014-11-18 |
| 1013312164 | Kelly J Conley | Counselor | 59 Fivco Ct, Grayson, KY 41143-6107 | 2014-10-31 |
| 1780943290 | Melissa Brown | Counselor | 59 Fivco Ct, Grayson, KY 41143-6107 | 2012-05-04 |
| 1366721615 | Jennifer Ann Nichols | Counselor | 840 Interstate Dr, Grayson, KY 41143-1768 | 2011-08-04 |
| 1356591325 | Nathan Parrish | Counselor | 840 Interstate Dr, Grayson, KY 41143-1768 | 2008-09-25 |
| Find all providers in GRAYSON | ||||
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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.