Provider Demographics
NPI:1821476086
Name:JOY, ALEXANDRA JANE (LPC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JANE
Last Name:JOY
Suffix:
Gender:F
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:JANE
Other - Last Name:CORRIVEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, ATR-BC
Mailing Address - Street 1:1371 BOSTON POST RD # 1046
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2755
Mailing Address - Country:US
Mailing Address - Phone:860-576-8236
Mailing Address - Fax:
Practice Address - Street 1:387C TUCKIE RD
Practice Address - Street 2:
Practice Address - City:NORTH WINDHAM
Practice Address - State:CT
Practice Address - Zip Code:06256-1370
Practice Address - Country:US
Practice Address - Phone:860-461-6529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty