| Journeys: A Pathway /to Healing, Llc | |
|
1250 Moore Lake Dr E Ste 205d Fridley MN 55432-5176 | |
| (612) 412-4819 | |
| (651) 304-6027 |
| Full Name | Journeys: A Pathway /to Healing, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1250 Moore Lake Dr E Ste 205d, Fridley, Minnesota |
| Authorized Official Name and Position | D'undra Rynise Willis (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 6124124819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeys: A Pathway /to Healing, Llc 1250 Moore Lake Dr E Ste 205d Fridley MN 55432-5176 Ph: (612) 412-4819 | Journeys: A Pathway /to Healing, Llc 1250 Moore Lake Dr E Ste 205d Fridley MN 55432-5176 Ph: (612) 412-4819 |
| NPI Number | 1386202091 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386202091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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