1821566795 NPI number — EVERY DAY JOY COUNSELING SERVICES LLC.

Table of content: (NPI 1821566795)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821566795 NPI number — EVERY DAY JOY COUNSELING SERVICES LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EVERY DAY JOY COUNSELING SERVICES LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821566795
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 STREET A STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PICAYUNE
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39466-5466
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-215-6087
Provider Business Mailing Address Fax Number:
601-799-3536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 STREET A STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PICAYUNE
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39466-5466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-215-6087
Provider Business Practice Location Address Fax Number:
601-799-3536
Provider Enumeration Date:
11/08/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WEIDEMANN
Authorized Official First Name:
JOY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
LCSW/ OWNER
Authorized Official Telephone Number:
601-215-6087

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 04951700 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com