Provider Demographics
NPI:1205084720
Name:MAKELA, JOY (LMHC, LSP, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:MAKELA
Suffix:
Gender:F
Credentials:LMHC, LSP, LPC, NCC
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:MAKELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC, LSP, LPC, NCC
Mailing Address - Street 1:1041 JOHN SIMS PKWY E
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-2712
Mailing Address - Country:US
Mailing Address - Phone:850-389-8489
Mailing Address - Fax:844-377-9201
Practice Address - Street 1:1041 JOHN SIMS PKWY E
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-2712
Practice Address - Country:US
Practice Address - Phone:850-389-8489
Practice Address - Fax:844-377-9201
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83793101YP2500X
FLSS1080103TS0200X
FLMH9571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NBCC248575OtherNATIONAL BOARD CERTIFIED COUNSELORS
FLSS1080OtherFLORIDA DEPT OF HEALTH
FLMH9571OtherFLORIDA DEPT OF HEALTH