Provider Demographics
NPI:1427325851
Name:MOORE, JOYCE MULLER (LPC)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MULLER
Last Name:MOORE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 TREE LANE
Mailing Address - Street 2:SUITE #260
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078
Mailing Address - Country:US
Mailing Address - Phone:770-736-7534
Mailing Address - Fax:770-736-8627
Practice Address - Street 1:1700 TREE LANE
Practice Address - Street 2:SUITE #260
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078
Practice Address - Country:US
Practice Address - Phone:770-736-7534
Practice Address - Fax:770-736-8627
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional