Provider Demographics
NPI:1770391369
Name:JOY SPRING MATERNAL MENTAL HEALTH
Entity type:Organization
Organization Name:JOY SPRING MATERNAL MENTAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:336-620-2085
Mailing Address - Street 1:101 E BUCK MOUNTAIN RD OFC 7
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-7374
Mailing Address - Country:US
Mailing Address - Phone:336-620-2085
Mailing Address - Fax:
Practice Address - Street 1:101 E BUCK MOUNTAIN RD OFC 7
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-7374
Practice Address - Country:US
Practice Address - Phone:336-290-1396
Practice Address - Fax:877-349-8775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)