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Contact Information

JOURNEY TO SUCCESS LLC
61 ARROW RD STE 103
WETHERSFIELD, CT06109-1301
 Phone: 959-245-4516
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for JOURNEY TO SUCCESS LLC

NPI Number 1124609987
LBN Legal business name JOURNEY TO SUCCESS LLC
Authorized official REVA MINGO - (LICENSED PROFESSIONAL COUNSELOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2021
Last updated 05/18/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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