Provider Demographics
NPI:1922314517
Name:MANUEL, JOY ELIZABETH (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JOY
Middle Name:ELIZABETH
Last Name:MANUEL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 ASHEWOOD COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-2739
Mailing Address - Country:US
Mailing Address - Phone:803-446-6324
Mailing Address - Fax:
Practice Address - Street 1:204 PALMETTO PARK BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7851
Practice Address - Country:US
Practice Address - Phone:803-359-0666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-20
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health