| Journey Fulfilled Llc. | |
|
1390 Valley Rd Ste 1b Stirling NJ 07980-1346 | |
| (908) 350-8643 | |
| (908) 350-8644 |
| Full Name | Journey Fulfilled Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1390 Valley Rd Ste 1b, Stirling, New Jersey |
| Authorized Official Name and Position | Crystal Ann Evans (OWNER) |
| Authorized Official Contact | 9083508643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Fulfilled Llc. 1390 Valley Rd Ste 1b Stirling NJ 07980-1346 Ph: (908) 350-8643 | Journey Fulfilled Llc. 1390 Valley Rd Ste 1b Stirling NJ 07980-1346 Ph: (908) 350-8643 |
| NPI Number | 1659842730 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659842730 | NPI | - | NPPES |
| 44SC05796600 | Other | NJ | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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