Provider Demographics
NPI:1396143889
Name:JOYFUL LIVING
Entity type:Organization
Organization Name:JOYFUL LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMYBETH
Authorized Official - Middle Name:LEVIE
Authorized Official - Last Name:BERNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-296-9323
Mailing Address - Street 1:27 E CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2504
Mailing Address - Country:US
Mailing Address - Phone:856-296-9323
Mailing Address - Fax:856-317-9059
Practice Address - Street 1:27 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-2504
Practice Address - Country:US
Practice Address - Phone:856-296-9323
Practice Address - Fax:856-317-9059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-15
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00108200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty