Provider Demographics
NPI:1528426921
Name:JOURNEY TO WELLNESS, LLC
Entity type:Organization
Organization Name:JOURNEY TO WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JENNFIER
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARMKA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:608-445-3154
Mailing Address - Street 1:19719 SPRING WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-1737
Mailing Address - Country:US
Mailing Address - Phone:608-445-3154
Mailing Address - Fax:
Practice Address - Street 1:4865 PALM COAST PKWY NW UNIT 1
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3656
Practice Address - Country:US
Practice Address - Phone:608-445-3154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW12007251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health