Provider Demographics
NPI:1750654679
Name:TAYLOR, JOY DAVIS (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:DAVIS
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 CEDAR POINT DR
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-4504
Mailing Address - Country:US
Mailing Address - Phone:318-640-2546
Mailing Address - Fax:318-442-0769
Practice Address - Street 1:207 GRIFFITH ST
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-5267
Practice Address - Country:US
Practice Address - Phone:318-487-9648
Practice Address - Fax:318-442-0769
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA76991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical