Provider Demographics
NPI:1073690871
Name:WILSON, JOY A (EDD LPCC-SC)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:A
Last Name:WILSON
Suffix:
Gender:F
Credentials:EDD LPCC-SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 MOUNT CARMEL TOBASCO RD STE 209
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3431
Mailing Address - Country:US
Mailing Address - Phone:513-528-1222
Mailing Address - Fax:
Practice Address - Street 1:4030 MOUNT CARMEL TOBASCO RD STE 209
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3431
Practice Address - Country:US
Practice Address - Phone:513-528-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3160S101YM0800X
OHOH E3160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health