Provider Demographics
NPI:1568555035
Name:MACTHOMAS, JOY COLLEEN (LCSW, MAC)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:COLLEEN
Last Name:MACTHOMAS
Suffix:
Gender:F
Credentials:LCSW, MAC
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:COLLEEN
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 16549
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31040-6549
Mailing Address - Country:US
Mailing Address - Phone:478-274-1136
Mailing Address - Fax:
Practice Address - Street 1:508 ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-5202
Practice Address - Country:US
Practice Address - Phone:478-697-4170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
507136101YA0400X
GACSW0032821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)