Provider Demographics
NPI:1013093434
Name:JOY HOLISTIC COUNSELING LLC
Entity Type:Organization
Organization Name:JOY HOLISTIC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SAVAGE ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LCSW
Authorized Official - Phone:860-464-9384
Mailing Address - Street 1:1807 CENTER GROTON RD
Mailing Address - Street 2:
Mailing Address - City:LEDYARD
Mailing Address - State:CT
Mailing Address - Zip Code:06339
Mailing Address - Country:US
Mailing Address - Phone:860-464-9384
Mailing Address - Fax:860-464-9899
Practice Address - Street 1:1807 CENTER GROTON RD
Practice Address - Street 2:
Practice Address - City:LEDYARD
Practice Address - State:CT
Practice Address - Zip Code:06339
Practice Address - Country:US
Practice Address - Phone:860-464-9384
Practice Address - Fax:860-464-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT0033961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
P1233884OtherOXFORD HEALTH PLANS
181485OtherMANAGED HEALTH NETWORK MH
37256OtherVALUE OPTIONS
CT1400003396CT01OtherANTHEM BLUE CROSS BLUE SH
P123316OtherOXFORD HEALTH PLANS
15156OtherVALUE OPTIONS
120373OtherVALUE OPTIONS
80002136Medicare ID - Type Unspecified
P123316OtherOXFORD HEALTH PLANS