Provider Demographics
NPI:1265467401
Name:BEAN, JOYCE C (MS LPC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:C
Last Name:BEAN
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:C
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LPC
Mailing Address - Street 1:529 N GRAND
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701
Mailing Address - Country:US
Mailing Address - Phone:580-234-8880
Mailing Address - Fax:580-234-8891
Practice Address - Street 1:529 N GRAND
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701
Practice Address - Country:US
Practice Address - Phone:580-234-8880
Practice Address - Fax:580-234-8891
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1716101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health