Provider Demographics
NPI:1144965054
Name:JOURNEY PSYCHIATRY & BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:JOURNEY PSYCHIATRY & BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CHEIF OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-358-9911
Mailing Address - Street 1:1815 HEALTH CARE DR STE B
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5377
Mailing Address - Country:US
Mailing Address - Phone:727-358-9911
Mailing Address - Fax:727-499-2612
Practice Address - Street 1:8849 HAWBUCK ST STE B
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-9805
Practice Address - Country:US
Practice Address - Phone:727-358-9911
Practice Address - Fax:727-499-2612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11012067OtherAPRN LICENSE