Provider Demographics
NPI:1629637145
Name:MCCRADY, JOY LYNN (MS, LCPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:LYNN
Last Name:MCCRADY
Suffix:
Gender:F
Credentials:MS, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 CRONSON BLVD UNIT 4511
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-9998
Mailing Address - Country:US
Mailing Address - Phone:410-403-0230
Mailing Address - Fax:
Practice Address - Street 1:815 RITCHIE HWY STE 208
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4164
Practice Address - Country:US
Practice Address - Phone:240-423-5199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-08
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9255101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional