Healthcare Provider Details

I. General information

NPI: 1417530098
Provider Name (Legal Business Name): SARA JOY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 S MERIDIAN STE C
PUYALLUP WA
98371-6914
US

IV. Provider business mailing address

PO BOX 1278
LINCOLNTON NC
28093-1278
US

V. Phone/Fax

Practice location:
  • Phone: 253-200-5787
  • Fax: 425-230-4884
Mailing address:
  • Phone: 425-954-5659
  • Fax: 425-230-4884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARA ANN JOY
Title or Position: OWNER
Credential: MA, LMHC, SUDP
Phone: 253-886-7456