Organization
SACRED JOURNEY INSTITUTE
Active
Other names
Ascend Your Soul
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MASSAT LCPC (OWNER)
(708) 703-1791
Entity
Organization
Contact information
Practice address
20550 S LAGRANGE RD STE 210, FRANKFORT, IL 60423-6042
(708) 703-1791
Mailing address
11501 KLUTH DR, MOKENA, IL 60448-9405
(708) 703-1791
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366067878
LICENSED PROFESSIONAL COUNSELOR BCBS
IL
Enumeration date
03/20/2023
Last updated
03/20/2023
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