Provider Demographics
NPI:1952812935
Name:JOYCE CARELOCK MINISTRIES
Entity Type:Organization
Organization Name:JOYCE CARELOCK MINISTRIES
Other - Org Name:EMPOWERMENT TRAINING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARELOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-801-3287
Mailing Address - Street 1:9180 OAKHURST RD STE 6
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-2161
Mailing Address - Country:US
Mailing Address - Phone:727-517-1046
Mailing Address - Fax:703-738-7281
Practice Address - Street 1:7552 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-1106
Practice Address - Country:US
Practice Address - Phone:727-517-1046
Practice Address - Fax:703-738-7281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL687524Medicaid