Provider Demographics
NPI:1619581782
Name:JOYFUL PSALM INC
Entity Type:Organization
Organization Name:JOYFUL PSALM INC
Other - Org Name:JOYFUL PSALM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOREMEKUN-JOLLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-553-3208
Mailing Address - Street 1:1354 RAVENWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1354 RAVENWOOD CT
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-3472
Practice Address - Country:US
Practice Address - Phone:682-553-3208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101200000XBehavioral Health & Social Service ProvidersDrama TherapistGroup - Multi-Specialty