Organization
JOURNEY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEGAN BLACKBIRD (OWNER)
(717) 964-8897
Entity
Organization
Contact information
Practice address
40 PHEASANT CT, ELIZABETHTOWN, PA 17022-9206
(717) 964-8897
Mailing address
40 PHEASANT CT, ELIZABETHTOWN, PA 17022-9206
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
07/02/2021
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