Provider Demographics
NPI:1710378740
Name:JOYCE, ADAM (LMSW)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:JOYCE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 E LESLIE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1535
Mailing Address - Country:US
Mailing Address - Phone:573-875-8880
Mailing Address - Fax:573-442-3830
Practice Address - Street 1:90 E LESLIE LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1535
Practice Address - Country:US
Practice Address - Phone:573-875-8880
Practice Address - Fax:573-442-3830
Is Sole Proprietor?:No
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014036221101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)