Provider Demographics
NPI:1366174906
Name:JOURNEY TO BEST SELF COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:JOURNEY TO BEST SELF COUNSELING SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-272-1026
Mailing Address - Street 1:31 PALOMBA DR UNIT 668
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-9994
Mailing Address - Country:US
Mailing Address - Phone:860-272-1026
Mailing Address - Fax:
Practice Address - Street 1:64 SPRUCELAND RD
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-2359
Practice Address - Country:US
Practice Address - Phone:860-967-5739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOURNEY TO BEST SELF COUNSELING SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-30
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness