OrganizationActive
Journey to Inner Wellness LLC
NPI 1205695194 · Adolescent and Children Mental Health Clinic/Center · Bishop, GA
Provider details
- NPI number
- 1205695194
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tyshawn Kingsberry, Ceo(706) 240-0371
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2242 Townside Dr
Bishop, GA 30621-6400
Phone: (706) 240-0371
Street-level locationGet directions
Mailing address
2242 Townside Dr
Bishop, GA 30621-6400
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.