Healthcare Provider Details

I. General information

NPI: 1942010285
Provider Name (Legal Business Name): JOYFULL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 HARPER DR NE STE 210
ALBUQUERQUE NM
87109-3541
US

IV. Provider business mailing address

2809 ALVARADO DR NE
ALBUQUERQUE NM
87110-3229
US

V. Phone/Fax

Practice location:
  • Phone: 505-451-4049
  • Fax:
Mailing address:
  • Phone: 505-208-2214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOY E DAVIS
Title or Position: OWNER THERAPIST
Credential:
Phone: 505-451-4049