Provider Demographics
NPI:1972344802
Name:JOY WELLNESS COUNSELING CENTER
Entity type:Organization
Organization Name:JOY WELLNESS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-315-0114
Mailing Address - Street 1:1226 ROYAL DR SW STE I
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-5926
Mailing Address - Country:US
Mailing Address - Phone:470-315-0114
Mailing Address - Fax:
Practice Address - Street 1:1226 ROYAL DR SW STE I
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-5926
Practice Address - Country:US
Practice Address - Phone:470-315-0114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health