Provider Demographics
NPI:1245576537
Name:ELIAS, JOYCE MORGAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:MORGAN
Last Name:ELIAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:NORTH STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06359-0113
Mailing Address - Country:US
Mailing Address - Phone:860-245-9113
Mailing Address - Fax:860-599-5804
Practice Address - Street 1:83 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-2423
Practice Address - Country:US
Practice Address - Phone:860-245-9113
Practice Address - Fax:860-245-9113
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-14
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002293101YP2500X
RIMHC00560101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health