Provider Demographics
NPI:1669366886
Name:SOJOURN BEHAVIORAL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:SOJOURN BEHAVIORAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIUS
Authorized Official - Middle Name:Q
Authorized Official - Last Name:BABB
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:765-398-8377
Mailing Address - Street 1:900 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-5655
Mailing Address - Country:US
Mailing Address - Phone:765-398-8377
Mailing Address - Fax:
Practice Address - Street 1:900 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-5655
Practice Address - Country:US
Practice Address - Phone:765-398-8377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service