Provider Demographics
NPI:1639206998
Name:CALLIS, JOYCE T (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:T
Last Name:CALLIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:CALLIS
Other - Last Name:NEWLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 ST THOMAS COURT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651
Mailing Address - Country:US
Mailing Address - Phone:864-423-8765
Mailing Address - Fax:
Practice Address - Street 1:250 S PLEASANTBURG DR
Practice Address - Street 2:
Practice Address - City:GREENSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-423-8765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC3818106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist