Provider Demographics
NPI:1730502899
Name:JOURNEY NEW VISION, LLC
Entity type:Organization
Organization Name:JOURNEY NEW VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-855-7245
Mailing Address - Street 1:18750 N 6750 E
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:UT
Mailing Address - Zip Code:84647-2309
Mailing Address - Country:US
Mailing Address - Phone:435-462-5491
Mailing Address - Fax:435-462-5492
Practice Address - Street 1:18750 N 6750 E
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:UT
Practice Address - Zip Code:84647-2309
Practice Address - Country:US
Practice Address - Phone:435-462-5491
Practice Address - Fax:435-462-5492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency