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JOURNEY OF LIFE TRANSFORMATION
NPI 1043099757
Community/Behavioral Health in Winston Salem, NC

Active since September 22, 2023
178 S PEACE HAVEN RD, WINSTON SALEM, NC 27104(336) 995-1418(336) 448-5386 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Journey Of Life Transformation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOURNEY OF LIFE TRANSFORMATION (NPI 1043099757), doing business as Jolt Support Services, is a healthcare organization registered as a community/behavioral health in Winston Salem, North Carolina and active in the NPI registry since September 2023. The organization lists Kimberly Neal, Owner/executive Director, as its authorized official.

NPPES Registry Identity

NPI1043099757
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJOURNEY OF LIFE TRANSFORMATION
Location Address178 S PEACE HAVEN RDWinston Salem, NC 27104-4439
Mailing Address178 S Peace Haven RdWinston Salem, NC 27104-4439 · (336) 995-1418 · Fax (336) 448-5386
Phone(336) 995-1418
Fax(336) 448-5386
Organization SubpartNo
Authorized OfficialKimberly NealOwner/executive Director · (336) 995-1418
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1043099757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
178 S PEACE HAVEN RD, Winston Salem, NC 27104
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Other Names 1

Doing Business AsJolt Support Services

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACE HAVEN ASSISTED LIVING LLC
Custodial Care Facility (Adult Care Home)
178 S PEACE HAVEN RD
WINSTON SALEM, NC 27104
Forsyth County (336) 995-1418
KIMBERLY NEAL RN
Assisted Living Facility
178 S PEACE HAVEN RD
WINSTON SALEM, NC 27104
Forsyth County (336) 995-1418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Journey Of Life Transformation's NPI number?

The NPI number for Journey Of Life Transformation is 1043099757. It was assigned to this organization in the NPPES registry on September 22, 2023. The provider is doing business as JOLT Support Services.

Where is Journey Of Life Transformation located?

Journey Of Life Transformation is located at 178 S Peace Haven Rd, Winston Salem, NC 27104. The listed phone number is (336) 995-1418.

What is Journey Of Life Transformation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Journey Of Life Transformation was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.