Healthcare Provider Details

I. General information

NPI: 1740965284
Provider Name (Legal Business Name): JOYCE MARTE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 33RD ST STE 100
ORLANDO FL
32839-8858
US

IV. Provider business mailing address

5809 SAGE DR
ORLANDO FL
32807-4464
US

V. Phone/Fax

Practice location:
  • Phone: 407-553-6336
  • Fax:
Mailing address:
  • Phone: 407-408-9163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: