# GRATEFUL JOURNEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144987900
- **Authorized official:** KAREN LEIGH BURROUGHS LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (540) 314-6107

## Contact information

- **Practice address:** 4220 CYPRESS PARK DR STE B, ROANOKE, VA 24018-8403
- **Practice address phone:** (540) 772-1872
- **Practice address fax:** (540) 772-4830
- **Mailing address:** 3768 SOUTHWAY DR SW APT 88, ROANOKE, VA 24014-2247
- **Mailing address phone:** (540) 314-6107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 11/29/2021
