Organization
THE HEALING JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MATOSSIAN LCSW-R (PRESIDENT)
(585) 281-9947
Entity
Organization
Contact information
Practice address
25 S. WEST ST., NUNDA, NY 14517-0614
(585) 281-9947
Mailing address
PO BOX 694, 25 S. WEST ST., NUNDA, NY 14517-0694
(585) 281-9947
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
077265-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831350503
INDIVIDUAL NPI
—
Enumeration date
02/26/2016
Last updated
02/26/2016
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