Provider Demographics
NPI:1063373280
Name:JOYFUL BEHAVIORAL SERVICES, LLC
Entity type:Organization
Organization Name:JOYFUL BEHAVIORAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-442-4746
Mailing Address - Street 1:849 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRUITDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36539-6004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:849 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FRUITDALE
Practice Address - State:AL
Practice Address - Zip Code:36539-6004
Practice Address - Country:US
Practice Address - Phone:251-442-4746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder