Healthcare Provider Details

I. General information

NPI: 1699266973
Provider Name (Legal Business Name): JOYFUL COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

883 MAIN ST STE 1
SANFORD ME
04073
US

IV. Provider business mailing address

2 VERONA ST APT 1
SPRINGVALE ME
04083-1642
US

V. Phone/Fax

Practice location:
  • Phone: 207-206-0425
  • Fax:
Mailing address:
  • Phone: 207-206-0425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberXL4899
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberXL4899
License Number StateME

VIII. Authorized Official

Name: MRS. JOIELLE K. LUNNY
Title or Position: OWNER
Credential: LCPC-C
Phone: 207-206-0425