Provider Demographics
NPI:1265836571
Name:JOYCE D. HUTCHENS
Entity Type:Organization
Organization Name:JOYCE D. HUTCHENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.M.H.C. 3069
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUTCHENS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:727-535-3247
Mailing Address - Street 1:4625 E BAY DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-5738
Mailing Address - Country:US
Mailing Address - Phone:727-535-3247
Mailing Address - Fax:727-535-4080
Practice Address - Street 1:4625 E BAY DR
Practice Address - Street 2:SUITE 301
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-5738
Practice Address - Country:US
Practice Address - Phone:727-535-3247
Practice Address - Fax:727-535-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLMHC3069251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health