# JOURNEY COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1851700249
- **Authorized official:** MRS. KIRA JOHNSON LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (601) 982-0948

## Contact information

- **Practice address:** 2080 DUNBARTON DR, SUITE 1, JACKSON, MS 39216-5016
- **Practice address phone:** (601) 982-0948
- **Practice address fax:** (877) 907-6577
- **Mailing address:** PO BOX 59397, JACKSON, MS 39284-9397
- **Mailing address phone:** (601) 982-0948
- **Mailing address fax:** (877) 907-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C6696 | MS | Yes |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 05/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06202806 | — | MS |