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General NPI Number Information
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NPI Number | 1972059830
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Entity Type | Organization
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Legal Business Name | JOY COUNSELING INC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 928 S GARFIELD AVE STE 3
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-2403
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Country | US
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Telephone | 231-642-5577
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Fax | 231-486-6144
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Provider Business Mailing Address
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Address Line | 9609 ROLLING RIDGE DR
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-8636
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Country | US
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Telephone | 231-642-5577
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Fax | 231-486-6562
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KIMBERLEE JOY MURPHY CLARK
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Credential | MA, LPC
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Telephone | 231-642-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0701004902
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6401008840
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License Number State | MI
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