Provider Demographics
NPI:1477005999
Name:A JOYFUL JOURNEY
Entity Type:Organization
Organization Name:A JOYFUL JOURNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:PAIT
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:252-717-2334
Mailing Address - Street 1:229 FRANK HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:NC
Mailing Address - Zip Code:27862-7217
Mailing Address - Country:US
Mailing Address - Phone:252-717-2334
Mailing Address - Fax:
Practice Address - Street 1:229 FRANK HARRIS RD
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:NC
Practice Address - Zip Code:27862-7217
Practice Address - Country:US
Practice Address - Phone:252-717-2334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6153235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty