Provider Demographics
NPI:1144335118
Name:JOURNEYS OF YOU
Entity type:Organization
Organization Name:JOURNEYS OF YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:EDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-602-2804
Mailing Address - Street 1:23 W MAIN ST
Mailing Address - Street 2:SUITE 2S
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1677
Mailing Address - Country:US
Mailing Address - Phone:312-602-2804
Mailing Address - Fax:866-365-4840
Practice Address - Street 1:23 W MAIN ST
Practice Address - Street 2:SUITE 2S
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1677
Practice Address - Country:US
Practice Address - Phone:312-602-2804
Practice Address - Fax:866-365-4840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty