Healthcare Provider Details

I. General information

NPI: 1245186113
Provider Name (Legal Business Name): JOYFUL LIFE BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2026
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E 4TH AVE STE 202
MOUNT DORA FL
32757-5550
US

IV. Provider business mailing address

68 HARRISON AVE STE 605
BOSTON MA
02111-1929
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8231
  • Fax:
Mailing address:
  • Phone: 508-233-8231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN ALSTON
Title or Position: PRESIDENT
Credential: LMFT
Phone: 508-963-8972