Provider Demographics
NPI:1164262762
Name:JOURNEY FOR LIFE INC
Entity type:Organization
Organization Name:JOURNEY FOR LIFE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARIKA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHWLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC,LMHC
Authorized Official - Phone:603-952-9600
Mailing Address - Street 1:326 MAIN ST. UNIT 11
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03044
Mailing Address - Country:US
Mailing Address - Phone:603-952-9600
Mailing Address - Fax:
Practice Address - Street 1:326 MAIN ST. UNIT 11
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NH
Practice Address - Zip Code:03044
Practice Address - Country:US
Practice Address - Phone:603-952-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty