| Sajourney | |
|
7 Jonathan Way Ellisville MS 39437-5195 | |
| (817) 473-1312 | |
| (866) 990-2813 |
| Full Name | Sajourney |
|---|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
| Location | 7 Jonathan Way, Ellisville, Mississippi |
| Authorized Official Name and Position | Zemelda D. Carr (ADM) |
| Authorized Official Contact | 8174731312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sajourney 2001 Se Green Oak Blvd Ste 130 Arlington TX 76018-0952 Ph: (817) 473-1312 | Sajourney 7 Jonathan Way Ellisville MS 39437-5195 Ph: (817) 473-1312 |
| NPI Number | 1023625894 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023625894 | NPI | - | NPPES |
| 1C5803 | Other | TX | GROUP |
| 25D2200016 | Other | MS | CLIA |
| 03320311 | Medicaid | MS |
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