Provider Demographics
NPI:1952114316
Name:MARTIN, JOYCE K (MS,MBA,CMHC)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:K
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MS,MBA,CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 CAREYSBROOK CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-4646
Mailing Address - Country:US
Mailing Address - Phone:804-652-8510
Mailing Address - Fax:
Practice Address - Street 1:3235 CAREYSBROOK CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-4646
Practice Address - Country:US
Practice Address - Phone:804-652-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
VA0704015025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty