Successful Journeys, LLC
Successful Journeys IIi · Community Based Residential Treatment Facility, Mental Illness

Address: 2106 W Vista Avenue, Phoenix, AZ 85021
Phone: 6234789400

Successful Journeys, LLC (NPI# 1225564545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225564545
Entity Type Organization
Organization Name SUCCESSFUL JOURNEYS, LLC
Other Organization Name SUCCESSFUL JOURNEYS III
Practice Address 2106 W Vista Avenue
Phoenix
AZ 85021
Practice Telephone 6234789400
Practice Fax Number 6234789500
Mailing Address 8828 N Central Ave
206
Phoenix
AZ 85020-2849
Mailing Telephone 6234789400
Mailing Fax Number 6234789500
Authorized Official Name Mr. Sekou Jackson (CEO)
Authorized Official Telephone 6234789400
Authorized Official Credential MA, MPA
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2017-05-05
Last Update Date 2017-05-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Successful Journeys III Doing Business As Name - Organization

Providers with the same name

NPI Name Taxonomy Address Enumeration
1871947994 Successful Journeys, LLC Community Based Residential Treatment Facility, Mental Illness 20969 W Thomas Rd, Buckeye, AZ 85396-1645 2016-04-14
1013141407 Successful Journeys, LLC Community Based Residential Treatment Facility, Mental Illness 4434 N 153rd Ln, Goodyear, AZ 85395-6302 2009-05-13

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1699394858 Acome Home LLC Community Based Residential Treatment Facility, Mental Illness 4509 E Acoma Dr, Phoenix, AZ 85032-4855 2020-04-08
1033748009 Optimum Care of Arizona LLC Community Based Residential Treatment Facility, Mental Illness 717 E Harwell Rd, Phoenix, AZ 85042-6655 2020-04-02
1043846561 Happy Haven Az LLC Community Based Residential Treatment Facility, Mental Illness 1110 W Hadley St, Phoenix, AZ 85007-3610 2020-03-16
1942835806 Mercy Favor and Grace Social Services Community Based Residential Treatment Facility, Mental Illness 9431 W Sheridan St, Phoenix, AZ 85037-4435 2020-03-10
1891320271 The Family House, LLC Community Based Residential Treatment Facility, Mental Illness 3017 W Pecan Rd, Phoenix, AZ 85041-4429 2020-03-06
1770115255 Sonoran Sky Community Services, Inc. Community Based Residential Treatment Facility, Mental Illness 9601 N Black Canyon Hwy, Phoenix, AZ 85021-2702 2020-02-12
1922630664 Laveen Behavioral Health LLC Community Based Residential Treatment Facility, Mental Illness 6315 S 34th Dr, Phoenix, AZ 85041-5465 2020-02-11
1104466697 Freshstart Recovery LLC Community Based Residential Treatment Facility, Mental Illness 2914 W Donner Dr, Phoenix, AZ 85041-6343 2020-01-13
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Office Location

Street Address 2106 W VISTA AVENUE
City PHOENIX
State AZ
Zip Code 85021

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NPI Name Taxonomy Address Enumeration
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1568970150 Alycia Ann Poloni Occupational Therapist 7129 N 23d Ave, Phoenix, AZ 85021 2018-01-17
1154839165 Cyrus Professional Corporation Dentist 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 2018-01-12
1568980779 Marla Jean Clay Licensed Practical Nurse 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 2017-09-07
1801325162 Kaitlin King Nurse Practitioner 8824 N 9th Ave, Phoenix, AZ 85021 2017-06-08
1477093193 Iwc West LLC Internal Medicine 2338 W Royal Palm Road, Suite J, Phoenix, AZ 85021 2017-02-28
1063872380 Basyel Ahmed Non-emergency Medical Transport (VAN) 8111 N 19 Ave Apt 2035, Phoenix, AZ 85021 2016-02-29
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Competitor

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City PHOENIX
Zip Code 85021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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