Provider Demographics
NPI:1639921893
Name:FLORES, JOY NICOLE (M A LPC- ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:NICOLE
Last Name:FLORES
Suffix:
Gender:F
Credentials:M A LPC- ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5751 KROGER DR STE 114
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-5633
Mailing Address - Country:US
Mailing Address - Phone:682-593-1402
Mailing Address - Fax:
Practice Address - Street 1:5751 KROGER DR STE 114
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5633
Practice Address - Country:US
Practice Address - Phone:682-593-1402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94451101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor