Provider Demographics
NPI:1063871978
Name:JOHNSON, JOYCE RITA (CRC, LMHC, PHD)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:RITA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CRC, LMHC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 MADISON AVE FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6379
Mailing Address - Country:US
Mailing Address - Phone:718-502-0998
Mailing Address - Fax:
Practice Address - Street 1:295 MADISON AVE FL 12
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6379
Practice Address - Country:US
Practice Address - Phone:718-502-0998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-19
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000599-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health