Provider Demographics
NPI:1922393248
Name:URBAN, JOYCE KLOCK (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:KLOCK
Last Name:URBAN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 SE 18TH PLACE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5422
Mailing Address - Country:US
Mailing Address - Phone:352-390-6656
Mailing Address - Fax:352-390-8756
Practice Address - Street 1:1130 SE 18TH PLACE
Practice Address - Street 2:SUITE 400
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5422
Practice Address - Country:US
Practice Address - Phone:352-390-6656
Practice Address - Fax:352-390-8756
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ03VYOtherBCBS