Healthcare Provider Details

I. General information

NPI: 1487020368
Provider Name (Legal Business Name): TRUE JOY COUNSELING AND CONSULTING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 JOHN SIMS PKWY E
NICEVILLE FL
32578-2712
US

IV. Provider business mailing address

1041 JOHN SIMS PKWY E
NICEVILLE FL
32578-2712
US

V. Phone/Fax

Practice location:
  • Phone: 850-389-8489
  • Fax: 844-377-9201
Mailing address:
  • Phone: 850-389-8489
  • Fax: 844-377-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSS1080
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOY MAKELA
Title or Position: OWNER/FOUNDER/PRESIDENT
Credential: LMHC, LSP, LPC, NCC
Phone: 850-389-8489