Provider Demographics
NPI:1497220206
Name:JOIE DE VIVRE COUNSELING LLC
Entity Type:Organization
Organization Name:JOIE DE VIVRE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGUZZA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:571-278-2063
Mailing Address - Street 1:1300 SW PARK AVE APT 2316
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-3663
Mailing Address - Country:US
Mailing Address - Phone:571-278-2063
Mailing Address - Fax:971-266-4443
Practice Address - Street 1:15110 BOONES FERRY RD STE 350
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-3461
Practice Address - Country:US
Practice Address - Phone:571-278-2063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management