Provider Demographics
NPI:1366872350
Name:JOURNEYS OF CHANGE COUNSELING
Entity type:Organization
Organization Name:JOURNEYS OF CHANGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LASKOSKIE
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:832-671-3604
Mailing Address - Street 1:8 SONG SPARROW PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3120
Mailing Address - Country:US
Mailing Address - Phone:832-671-3604
Mailing Address - Fax:
Practice Address - Street 1:2006 S LOOP 336 W STE 400
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3314
Practice Address - Country:US
Practice Address - Phone:832-671-3604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62622251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health