Provider Demographics
NPI:1124250121
Name:JOYNER, LELYNE DE (MA LMFT MHC)
Entity type:Individual
Prefix:
First Name:LELYNE
Middle Name:DE
Last Name:JOYNER
Suffix:
Gender:F
Credentials:MA LMFT MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 COROTTOMAN CT
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-8929
Mailing Address - Country:US
Mailing Address - Phone:317-272-6208
Mailing Address - Fax:
Practice Address - Street 1:192 N STATE ROAD 267
Practice Address - Street 2:SUITE 300
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9513
Practice Address - Country:US
Practice Address - Phone:317-272-5247
Practice Address - Fax:317-272-1340
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001675A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist