Healthcare Provider Details

I. General information

NPI: 1164957908
Provider Name (Legal Business Name): JOYFUL LIFE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4845 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-1023
US

IV. Provider business mailing address

4845 W ANDREW JOHNSON HWY
MORRISTOWN TN
37814-1023
US

V. Phone/Fax

Practice location:
  • Phone: 423-616-0297
  • Fax: 423-390-0052
Mailing address:
  • Phone: 423-616-0297
  • Fax: 423-390-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMT0000001122
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SONYA MOORE
Title or Position: CEO
Credential: LADAC II
Phone: 423-616-0297