| Journey Well Therapy And Coaching Pllc | |
|
408 11th Avenue Fulton IL 61252 | |
| (563) 321-7650 | |
| Not Available |
| Full Name | Journey Well Therapy And Coaching Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 408 11th Avenue, Fulton, Illinois |
| Authorized Official Name and Position | Devin Dierks (OWNER AND THERAPIST) |
| Authorized Official Contact | 5633217650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Well Therapy And Coaching Pllc 13109 Sand Rd Fulton IL 61252-9853 Ph: (563) 321-7650 | Journey Well Therapy And Coaching Pllc 408 11th Avenue Fulton IL 61252 Ph: (563) 321-7650 |
| NPI Number | 1043849755 |
|---|---|
| Provider Enumeration Date | 04/04/2020 |
| Last Update Date | 04/04/2020 |
| Certification Date | 04/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043849755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |