SUCCESSFUL JOURNEYS III – NPI #1225564545
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

SUCCESSFUL JOURNEYS III is a community based residential treatment facility located in PHOENIX, AZ. NPPES has assigned the NPI number 1225564545 to SUCCESSFUL JOURNEYS III on May 05, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUCCESSFUL JOURNEYS III” is a dba name, the actual legal business name for this organization is SUCCESSFUL JOURNEYS, LLC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 2 years ago on Dec 19, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUCCESSFUL JOURNEYS III below.

NPI Profile for
SUCCESSFUL JOURNEYS, LLC

NPI Number
1225564545
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUCCESSFUL JOURNEYS, LLC
Doing Business As (dba): SUCCESSFUL JOURNEYS III
Primary location
2106 W VISTA AVENUE
PHOENIX, AZ 85021
Phone: (623) 478-9400 Fax: (623) 478-9500
Mailing address
12224 N 45TH LN
GLENDALE, AZ 85304-2312
Phone: (623) 293-8022 Fax: (602) 693-0628
Organization Subpart
No
Authorized Official
DAVID AGYAPONG
CEO
Phone: (615) 310-6325
Updated
Certification Date
Dec 19, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.