Provider Demographics
NPI:1740984970
Name:JOIE DE VIVRE COUNSELING AND CONSULTATION PLLC
Entity type:Organization
Organization Name:JOIE DE VIVRE COUNSELING AND CONSULTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:LAJOIE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:704-516-5570
Mailing Address - Street 1:5430 CHILTERN HILLS TRL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-5306
Mailing Address - Country:US
Mailing Address - Phone:704-516-5570
Mailing Address - Fax:
Practice Address - Street 1:5430 CHILTERN HILLS TRL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5306
Practice Address - Country:US
Practice Address - Phone:704-516-5570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty