MEDICARE: JOYFUL LIFE BEHAVIORAL HEALTH SERVICES, 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	106H00000X	Marriage & Family Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1245186113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL LIFE BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	68 HARRISON AVE STE 605
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1929
Country	:	US
Telephone Number	:	508-233-8231
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 E 4TH AVE STE 202
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-5550
Country	:	US
Telephone Number	:	508-233-8231
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KATHRYN ALSTON
Credential	:	LMFT
Telephone Number	:	508-963-8972

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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