OrganizationCreate A Journey, LlcCommunity/Behavioral HealthAgenciesPractice Address4924 Windy Hill Dr Ste A, Raleigh, NC 27609-4930(919) 855-1145PECOS EnrollmentBased on the most recent information from CMS, provider Create A Journey, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1558859264Provider TypeOrganizationFull NameCreate A Journey, LlcSubpartNoEnumeration Date4/27/2018Last Updated3/28/2019Contact InformationPractice LocationPractice Address4924 Windy Hill Dr Ste A, Raleigh, NC 27609-4930Phone(919) 855-1145Fax(302) 729-0988Mailing LocationMailing Address4924 Windy Hill Dr Ste A, Raleigh, NC 27609-4930Phone(919) 855-1145Fax(302) 729-0988Authorized OfficialNameSumter, Alisha (Clinical Director)Phone(919) 855-1145Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer