Provider Demographics
NPI:1528848181
Name:JOYFUL RAINE THERAPY AND HOLISTIC CARE LLC
Entity type:Organization
Organization Name:JOYFUL RAINE THERAPY AND HOLISTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JYOTISH
Authorized Official - Middle Name:
Authorized Official - Last Name:WIERTELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:906-299-3208
Mailing Address - Street 1:512 SCHOOLCRAFT RD
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-5243
Mailing Address - Country:US
Mailing Address - Phone:906-299-3208
Mailing Address - Fax:906-257-6736
Practice Address - Street 1:512 SCHOOLCRAFT RD
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855
Practice Address - Country:US
Practice Address - Phone:906-299-3208
Practice Address - Fax:906-257-6736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty