Provider Demographics
NPI:1821621509
Name:CAREY, JOANNA JOY KNOWLES (MA, LMFT, NCC)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:JOY KNOWLES
Last Name:CAREY
Suffix:
Gender:F
Credentials:MA, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 S BABCOCK ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-5308
Mailing Address - Country:US
Mailing Address - Phone:321-348-7425
Mailing Address - Fax:
Practice Address - Street 1:2306 S BABCOCK ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-5308
Practice Address - Country:US
Practice Address - Phone:321-348-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3790106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist