Organization
NEW JOURNEY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VEEDA JENE SMALLS LPC (OWNER)
(803) 775-5261
Entity
Organization
Contact information
Practice address
533 OXFORD ST, SUITE D, SUMTER, SC 29150-3353
(803) 775-5261
(803) 773-8111
Mailing address
PO BOX 1627, SUMTER, SC 29151-1627
(803) 775-5261
(803) 773-8111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2585
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11318685
CAQH
—
01
—
499995
VALUE OPTIONS
—
Enumeration date
03/29/2007
Last updated
04/28/2010
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