Provider Demographics
NPI:1952000481
Name:JOY OF LIFE THERAPY, INC
Entity Type:Organization
Organization Name:JOY OF LIFE THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BAHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DELARAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-599-4050
Mailing Address - Street 1:1682 LANGLEY AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5620
Mailing Address - Country:US
Mailing Address - Phone:949-529-0502
Mailing Address - Fax:
Practice Address - Street 1:1682 LANGLEY AVE STE 1
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5620
Practice Address - Country:US
Practice Address - Phone:949-529-0502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty