Organization
CREATE A JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA SUMTER (CLINICAL DIRECTOR)
(919) 855-1145
Entity
Organization
Contact information
Practice address
4924 WINDY HILL DR STE A, RALEIGH, NC 27609-4930
(919) 855-1145
(302) 729-0988
Mailing address
4924 WINDY HILL DR STE A, RALEIGH, NC 27609-4930
(919) 855-1145
(302) 729-0988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
03/28/2019
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