Provider Demographics
NPI:1518598457
Name:GENUINE JOY COUNSELING
Entity Type:Organization
Organization Name:GENUINE JOY COUNSELING
Other - Org Name:GENUINE JOY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-313-4493
Mailing Address - Street 1:1580 PEACHCREST DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-2873
Mailing Address - Country:US
Mailing Address - Phone:678-313-4493
Mailing Address - Fax:
Practice Address - Street 1:243 S CULVER ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4805
Practice Address - Country:US
Practice Address - Phone:678-313-4493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA006600OtherLPC LICENSE