Provider Demographics
NPI:1003313164
Name:DAVIES, JOY (LPC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:DAVIES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 PARTERRE PL
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-9008
Mailing Address - Country:US
Mailing Address - Phone:248-798-3229
Mailing Address - Fax:
Practice Address - Street 1:3032 PARTERRE PL
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-9008
Practice Address - Country:US
Practice Address - Phone:248-798-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health