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General NPI Number Information
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NPI Number | 1093515256
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Entity Type | Organization
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Legal Business Name | JOY YOUTH SERVICES INC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1343 W 53RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90037-3436
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Country | US
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Telephone | 310-704-8705
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Fax |
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Provider Business Mailing Address
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Address Line | 14093 LEMOLI AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-8860
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Country | US
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Telephone | 310-704-8705
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | DR. GLORIA SHELL MITCHELL
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Credential | DMIN, PHD
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Telephone | 310-704-8705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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