MEDICARE: BELOVED JOY THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1114881596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELOVED JOY THERAPY LLC

Provider Business Mailing Address
First Line	:	3033 189TH ST
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-3419
Country	:	US
Telephone Number	:	630-777-1991
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 189TH ST
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-3419
Country	:	US
Telephone Number	:	630-777-1991
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOPE DANIELLE BARNES
Credential	:	LCSW
Telephone Number	:	630-777-1991

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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