Provider Demographics
NPI:1821360371
Name:GAY, JOI SABRINA G (LPC)
Entity Type:Individual
Prefix:
First Name:JOI SABRINA
Middle Name:G
Last Name:GAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JOI SABRINA
Other - Middle Name:G
Other - Last Name:FIELDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 872
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-0872
Mailing Address - Country:US
Mailing Address - Phone:478-273-0037
Mailing Address - Fax:
Practice Address - Street 1:102 GUNN RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:GA
Practice Address - Zip Code:31028-1706
Practice Address - Country:US
Practice Address - Phone:478-273-0037
Practice Address - Fax:478-953-0093
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional