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 2 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