Provider Demographics
NPI:1295431260
Name:JOYFUL LIFE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:JOYFUL LIFE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER AND PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHONTAE
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, ADC
Authorized Official - Phone:681-439-1747
Mailing Address - Street 1:816 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740-3009
Mailing Address - Country:US
Mailing Address - Phone:681-439-1747
Mailing Address - Fax:
Practice Address - Street 1:816 HARRISON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3009
Practice Address - Country:US
Practice Address - Phone:304-306-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)