Provider Demographics
NPI:1225513237
Name:MOORE JOY COUNSELING
Entity Type:Organization
Organization Name:MOORE JOY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-405-3079
Mailing Address - Street 1:11047 N RIVER LN
Mailing Address - Street 2:
Mailing Address - City:CORNELL
Mailing Address - State:MI
Mailing Address - Zip Code:49818-9216
Mailing Address - Country:US
Mailing Address - Phone:616-405-3079
Mailing Address - Fax:
Practice Address - Street 1:800 E ELLIS RD STE 173
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-5646
Practice Address - Country:US
Practice Address - Phone:231-465-1064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty