MEDICARE: JOYCE MCKAY L.P.C., O.T.R.L.

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	101YP2500X	Professional Counselor	1188	AL

General Provider Information

NPI Number	:	1689708604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCE MCKAY L.P.C., O.T.R.L.

Provider Business Mailing Address
First Line	:	2204 LAKESHORE DR
Second Line	:	SUITE 212
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6729
Country	:	US
Telephone Number	:	205-879-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 LAKESHORE DR
Second Line	:	SUITE 212
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-6729
Country	:	US
Telephone Number	:	205-879-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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