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NPI Code Detail

MEDICARE: CHOOSE JOY THERAPY, LLC

MEDICARE: CHOOSE 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1770101206
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOOSE JOY THERAPY, LLC
Provider Business Mailing Address
First Line : 1010 WINDWARD OAKS DRIVE
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746
Country : US
Telephone Number : 614-893-3374
Fax Number :
Provider Business Practice Location Address
First Line : 1235 MOUNT VERNON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-5417
Country : US
Telephone Number : 614-893-3374
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOY MOODY
Credential : LCSW
Telephone Number : 614-893-3374
Provider Enumeration Date : 07/10/2020
Last Update Date : 07/10/2020

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Directions to “CHOOSE JOY THERAPY, LLC ” Practice Location

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