Provider Demographics
NPI:1558714980
Name:RUBEN WELTS, JOY
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:RUBEN WELTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2303
Mailing Address - Country:US
Mailing Address - Phone:631-553-9129
Mailing Address - Fax:
Practice Address - Street 1:25 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2303
Practice Address - Country:US
Practice Address - Phone:631-553-9129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor