| The Journey Center For Healing Arts, Pllc | |
|
2700 S Roan St Ste 435 Johnson City TN 37601-7587 | |
| (423) 408-8041 | |
| Not Available |
| Full Name | The Journey Center For Healing Arts, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2700 S Roan St Ste 435, Johnson City, Tennessee |
| Authorized Official Name and Position | Sybil Smith (OWNER) |
| Authorized Official Contact | 8287139003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Journey Center For Healing Arts, Pllc 2700 S Roan St Ste 410 Johnson City TN 37601-7638 Ph: (423) 408-8041 | The Journey Center For Healing Arts, Pllc 2700 S Roan St Ste 435 Johnson City TN 37601-7587 Ph: (423) 408-8041 |
| NPI Number | 1013434828 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 04/29/2020 |
| Medicare PECOS PAC ID | 3779913025 |
|---|---|
| Medicare Enrollment ID | O20200429000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013434828 | NPI | - | NPPES |
| 1376669226 | Other | 1376669226 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2483 (Tennessee) | Primary |
| Provider Name | Justin J Knodel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821225848 PECOS PAC ID: 3971750357 Enrollment ID: I20200430001249 |
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