Provider Demographics
NPI:1447580733
Name:EJOYCE CONSULTATION AND CLINICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:EJOYCE CONSULTATION AND CLINICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MSW
Authorized Official - Phone:252-258-5785
Mailing Address - Street 1:307 WILLIAMSBURG DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6329
Mailing Address - Country:US
Mailing Address - Phone:252-258-5785
Mailing Address - Fax:714-646-0649
Practice Address - Street 1:200 W 3RD ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-1808
Practice Address - Country:US
Practice Address - Phone:252-258-5785
Practice Address - Fax:714-646-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003676251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13297OtherBCBS NC
NC6002384Medicaid
NC13297OtherBCBS NC