Healthcare Provider Details

I. General information

NPI: 1922312065
Provider Name (Legal Business Name): JAMES JOHN JOYCE LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2010
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 WEST AVE
LUDLOW MA
01056-1700
US

IV. Provider business mailing address

185 WEST AVE
LUDLOW MA
01056-1700
US

V. Phone/Fax

Practice location:
  • Phone: 413-583-6750
  • Fax: 413-589-7001
Mailing address:
  • Phone: 413-583-6750
  • Fax: 413-589-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6187
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: