Provider Demographics
NPI:1659903102
Name:SMITH, JOY HOOSIER (CADC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:HOOSIER
Last Name:SMITH
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:HOOSIER
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3 DOCTORS PARK STE GANDH
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4531
Mailing Address - Country:US
Mailing Address - Phone:828-251-1478
Mailing Address - Fax:828-251-5227
Practice Address - Street 1:3 DOCTORS PARK STE GANDH
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4531
Practice Address - Country:US
Practice Address - Phone:828-251-1478
Practice Address - Fax:828-251-5227
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2242101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)