Provider Demographics
NPI:1396252136
Name:NEAL, JOY LEANDRA (LMSW)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:LEANDRA
Last Name:NEAL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 SYBIL LN
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1823
Mailing Address - Country:US
Mailing Address - Phone:903-596-8118
Mailing Address - Fax:
Practice Address - Street 1:2010 SYBIL LN
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1823
Practice Address - Country:US
Practice Address - Phone:903-596-8118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53463104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker