Provider Demographics
NPI:1205355997
Name:MOLINA, JOY DAWN (LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:DAWN
Last Name:MOLINA
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 WATERCREST DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-8694
Mailing Address - Country:US
Mailing Address - Phone:828-357-7425
Mailing Address - Fax:
Practice Address - Street 1:274 CATAWBA AVE APT D
Practice Address - Street 2:
Practice Address - City:OLD FORT
Practice Address - State:NC
Practice Address - Zip Code:28762-8626
Practice Address - Country:US
Practice Address - Phone:828-357-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13279101YP2500X
NCLCAS-23529101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty