Provider Demographics
NPI:1568910594
Name:CARTER, JOYCE (PSYD, LPC)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, LPC
Mailing Address - Street 1:3040 AVEMORE SQUARE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-7228
Mailing Address - Country:US
Mailing Address - Phone:804-901-7911
Mailing Address - Fax:804-672-7422
Practice Address - Street 1:7460 CENTRAL BUSINESS PARK DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2818
Practice Address - Country:US
Practice Address - Phone:804-901-7911
Practice Address - Fax:804-674-7422
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1205986676Medicaid