Healthcare Provider Details

I. General information

NPI: 1609297001
Provider Name (Legal Business Name): JOY LIZETTE FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2014
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 N CHRISTY LN APT 4
LAS VEGAS NV
89156-5631
US

IV. Provider business mailing address

2020 N CHRISTY LN APT 4
LAS VEGAS NV
89156-5631
US

V. Phone/Fax

Practice location:
  • Phone: 702-352-5243
  • Fax:
Mailing address:
  • Phone: 702-352-5243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: