Provider Demographics
NPI:1083057780
Name:JOY, KAREN (LMSW, MA LLP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:JOY
Suffix:
Gender:F
Credentials:LMSW, MA LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 ELMHURST AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3016
Mailing Address - Country:US
Mailing Address - Phone:248-494-8905
Mailing Address - Fax:
Practice Address - Street 1:3129 ELMHURST AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3016
Practice Address - Country:US
Practice Address - Phone:248-494-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009477103TC0700X
MI68011040801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical