Provider Demographics
NPI:1588411359
Name:BOX, JOYCE D (LICSW-S, PIP)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:D
Last Name:BOX
Suffix:
Gender:F
Credentials:LICSW-S, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 WATER TANK RD
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35079-4020
Mailing Address - Country:US
Mailing Address - Phone:205-704-7058
Mailing Address - Fax:
Practice Address - Street 1:295 WATER TANK RD
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:AL
Practice Address - Zip Code:35079-4020
Practice Address - Country:US
Practice Address - Phone:205-704-7058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4420C-S1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical