Organization
JOURNEY COUNSELING AND COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERWANNA COLLIER CLAY LCSW (EXECUTIVE DIRECTOR)
(985) 467-0730
Entity
Organization
Contact information
Practice address
1180 HIGHWAY 51 STE A, PONCHATOULA, LA 70454-6365
(985) 467-0730
(955) 467-0674
Mailing address
PO BOX 1272, PONCHATOULA, LA 70454-1272
(985) 467-0730
(985) 467-0674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11298
LA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH0012803
—
LA
Enumeration date
03/15/2017
Last updated
09/26/2023
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