MEDICARE: JOYFUL BEGINNINGS COUNSELING, 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	104100000X	Social Worker

General Provider Information

NPI Number	:	1346983509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOYFUL BEGINNINGS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	717 CHASE COMMON DR
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30071-3550
Country	:	US
Telephone Number	:	772-353-6783
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 CHASE COMMON DR
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30071-3550
Country	:	US
Telephone Number	:	772-353-6783
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JARBRIEL BRYANT
Credential	:	LCSW
Telephone Number	:	470-645-2310

Provider Enumeration Date	:	04/15/2022
Last Update Date	:	04/15/2022

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