Provider Demographics
NPI:1386316719
Name:JOY, PHILICIA (LCSWA)
Entity type:Individual
Prefix:
First Name:PHILICIA
Middle Name:
Last Name:JOY
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 ENO RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-9404
Mailing Address - Country:US
Mailing Address - Phone:919-698-7819
Mailing Address - Fax:
Practice Address - Street 1:5171 GLENWOOD AVE STE 211
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3266
Practice Address - Country:US
Practice Address - Phone:919-783-8898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0164481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical