OrganizationActive
A Different Journey, LLC
NPI 1235526443 · Clinical Social Worker · Brooklyn, NY
Provider details
- NPI number
- 1235526443
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Vivian Thompson, Primary Therapist-Owner(646) 263-6227
- License
- R059610-1 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
26 Court St Ste 1502
Brooklyn, NY 11242-1115
Phone: (646) 263-6227
Approximate (ZIP-level) locationGet directions
Mailing address
134 Main Ave
Lake Grove, NY 11755-2000
Registry dates
- Enumerated
- 2015-04-26
- Last updated
- 2015-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.