Provider Demographics
NPI:1477847960
Name:SMITH, JOYCE L (PSYD, MAC, LAC, LPC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:PSYD, MAC, LAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7585 W 66TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3970
Mailing Address - Country:US
Mailing Address - Phone:303-467-2624
Mailing Address - Fax:303-431-8410
Practice Address - Street 1:7585 W 66TH AVE STE C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3970
Practice Address - Country:US
Practice Address - Phone:303-467-2624
Practice Address - Fax:303-431-8410
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC-2510101YP2500X
COACD.0000053101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0002510OtherDORA
COACD.0000053OtherDORA