Organization
JOURNEY PSYCH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LYONS PHMNP-BC, LPC (OWNER)
(800) 955-0167
Entity
Organization
Contact information
Practice address
453 S SPRING ST STE 400, LOS ANGELES, CA 90013-2074
(800) 955-0167
(800) 955-0167
Mailing address
222 PEVELY FARMS DR, EUREKA, MO 63025-1618
(800) 955-0167
(800) 955-0167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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