Healthcare Provider Details

I. General information

NPI: 1639810146
Provider Name (Legal Business Name): JOY A REID LIFE ENRICHMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5035 MAYFIELD RD STE 214
LYNDHURST OH
44124-2603
US

IV. Provider business mailing address

PO BOX 21007
SOUTH EUCLID OH
44121-0007
US

V. Phone/Fax

Practice location:
  • Phone: 216-280-0161
  • Fax:
Mailing address:
  • Phone: 216-280-0161
  • Fax: 216-279-9460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JOY A REID
Title or Position: OWNER / THERAPIST
Credential:
Phone: 216-280-0161