Provider Demographics
NPI:1851585848
Name:SMITH, JOYCE KEILMAN (LMFT, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:KEILMAN
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:MISS
Other - First Name:JOYCE
Other - Middle Name:K
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:7867 BEANBLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1637
Mailing Address - Country:US
Mailing Address - Phone:317-531-0144
Mailing Address - Fax:317-578-0828
Practice Address - Street 1:7425 E 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1207
Practice Address - Country:US
Practice Address - Phone:317-531-0144
Practice Address - Fax:317-578-0828
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-01
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001113A101YM0800X
IN35001004106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health