Provider Demographics
NPI:1073819561
Name:JASON JOY, LMFT, LLC
Entity Type:Organization
Organization Name:JASON JOY, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DONALD ELWYN
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:859-806-1975
Mailing Address - Street 1:828 LANE ALLEN RD
Mailing Address - Street 2:STE, 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3658
Mailing Address - Country:US
Mailing Address - Phone:859-806-1975
Mailing Address - Fax:859-277-0709
Practice Address - Street 1:828 LANE ALLEN RD
Practice Address - Street 2:STE, 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3658
Practice Address - Country:US
Practice Address - Phone:859-806-1975
Practice Address - Fax:859-277-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY780860251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health