Healthcare Provider Details

I. General information

NPI: 1740184225
Provider Name (Legal Business Name): JOYCE L. WILLIAMS-SIDIBE LICENSED PROFESSIONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 EAST SEMINOLE CT.
GALLOWAY NJ
08205
US

IV. Provider business mailing address

140 EAST SEMINOLE CT.
GALLOWAY NJ
08205
US

V. Phone/Fax

Practice location:
  • Phone: 609-816-2680
  • Fax:
Mailing address:
  • Phone: 609-816-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00198900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: