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NPI 1821566795

NPI 1821566795 : EVERY DAY JOY COUNSELING SERVICES LLC. : PICAYUNE, MS

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General NPI Number Information
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    NPI Number           |    1821566795
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVERY DAY JOY COUNSELING SERVICES LLC. 
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Dates
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    Enumeration Date     |    11/08/2018
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    Last Update Date     |    11/08/2018
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Provider Practice Location Address
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    Address Line         |    120 STREET A STE C 
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    City                 |    PICAYUNE
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    State                |    MS
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    Zip                  |    39466-5466
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    Country              |    US
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    Telephone            |    601-215-6087
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    Fax                  |    601-799-3536
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Provider Business Mailing Address
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    Address Line         |    120 STREET A STE C 
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    City                 |    PICAYUNE
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    State                |    MS
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    Zip                  |    39466-5466
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    Country              |    US
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    Telephone            |    601-215-6087
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    Fax                  |    601-799-3536
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Authorized Official
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    Title or Position    |    LCSW/ OWNER
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    Name                 |     JOY ANN WEIDEMANN 
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    Credential           |    LCSW
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    Telephone            |    601-215-6087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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