Provider Demographics
NPI:1093515256
Name:JOY YOUTH SERVICES INC
Entity type:Organization
Organization Name:JOY YOUTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA SHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, PHD
Authorized Official - Phone:310-704-8705
Mailing Address - Street 1:14093 LEMOLI AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-8860
Mailing Address - Country:US
Mailing Address - Phone:310-704-8705
Mailing Address - Fax:
Practice Address - Street 1:1343 W 53RD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3436
Practice Address - Country:US
Practice Address - Phone:310-704-8705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No172V00000XOther Service ProvidersCommunity Health Worker