Provider Demographics
NPI:1013809508
Name:JOURNEY TOGETHER ENTERPRISES LLC
Entity type:Organization
Organization Name:JOURNEY TOGETHER ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NEVADA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-305-0317
Mailing Address - Street 1:1426 THOROUGHBRED TRL
Mailing Address - Street 2:
Mailing Address - City:PARKTON
Mailing Address - State:NC
Mailing Address - Zip Code:28371-7701
Mailing Address - Country:US
Mailing Address - Phone:757-305-0317
Mailing Address - Fax:
Practice Address - Street 1:1426 THOROUGHBRED TRL
Practice Address - Street 2:
Practice Address - City:PARKTON
Practice Address - State:NC
Practice Address - Zip Code:28371-7701
Practice Address - Country:US
Practice Address - Phone:757-305-0317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health