Healthcare Provider Details

I. General information

NPI: 1831007046
Provider Name (Legal Business Name): JOYANN RENEE FLINT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 WILLIAMS ST
VALDOSTA GA
31601-4041
US

IV. Provider business mailing address

1644 CARPENTER RD S UNIT N21
TIFTON GA
31793-1133
US

V. Phone/Fax

Practice location:
  • Phone: 229-588-2266
  • Fax:
Mailing address:
  • Phone: 828-450-1993
  • 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: