| Organization Name: | JOURNEY TREE COUNSELING LLC |
| NPI Number: | 1083030878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA OLIVIA HOANG (LICENSED MENTAL HEALTH COUNSELOR) |
| Mailing Address: | 511 N Maitland Ave Ste 1 Maitland |
| State: | FL US |
| Postal Code: | 327514421 |
| Phone Number: | 3213468606 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2014 |
| NPI Last Update Date: | 03/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MHC 11684 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |