Organization Name: | THE THERAPEAUTIC JOURNEY LLC |
NPI Number: | 1023446523 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN B SHENNETTE (CLINICAL SOCIAL WORKER) |
Mailing Address: | 2517 Hughes Rd Adelphi |
State: | MD US |
Postal Code: | 207831538 |
Phone Number: | 2404724689 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2013 |
NPI Last Update Date: | 11/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 19257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |