Organization Name: | JOURNEYS OF YOU |
NPI Number: | 1144335118 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON M EDMOND (COUNSELOR) |
Mailing Address: | 23 W Main St Suite 2s Glenwood |
State: | IL US |
Postal Code: | 604251677 |
Phone Number: | 3126022804 |
Fax Number: | 8663654840 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |