Provider Demographics
NPI:1407629231
Name:LIVING WITH JOY LLC
Entity type:Organization
Organization Name:LIVING WITH JOY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATELIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-992-3739
Mailing Address - Street 1:2121 HOFFNAGLE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2408
Mailing Address - Country:US
Mailing Address - Phone:267-992-3739
Mailing Address - Fax:
Practice Address - Street 1:2121 HOFFNAGLE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-2408
Practice Address - Country:US
Practice Address - Phone:267-992-3739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty