Provider Demographics
NPI:1437769775
Name:JOY MENTAL FITNESS LLC
Entity Type:Organization
Organization Name:JOY MENTAL FITNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:201-896-7171
Mailing Address - Street 1:377 VALLEY RD # 1070
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1319
Mailing Address - Country:US
Mailing Address - Phone:201-856-4307
Mailing Address - Fax:
Practice Address - Street 1:101 HUDSON ST FL 21
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3929
Practice Address - Country:US
Practice Address - Phone:201-896-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-02
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)