Provider Demographics
NPI:1467898585
Name:HOLYS, JOYCE ANN (BS, LADC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:HOLYS
Suffix:
Gender:F
Credentials:BS, LADC
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:ANN
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1417 LAS VEGAS BLVD N
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-1115
Mailing Address - Country:US
Mailing Address - Phone:702-385-3776
Mailing Address - Fax:702-836-2154
Practice Address - Street 1:1417 LAS VEGAS BLVD N
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-1115
Practice Address - Country:US
Practice Address - Phone:702-385-3776
Practice Address - Fax:702-836-2154
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator