Organization
NEW JOURNEY LLC
Active
Other names
New Journey LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DOMINIQUE FAMBLE (OWNER)
(312) 898-4422
Entity
Organization
Contact information
Practice address
2701 N RAINBOW BLVD APT 1081, LAS VEGAS, NV 89108-7104
(312) 898-4422
Mailing address
2701 N RAINBOW BLVD APT 1081, LAS VEGAS, NV 89108-7104
(312) 898-4422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/24/2019
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