Organization Name: | MICHAEL JOYCE, LICSW. PLC |
NPI Number: | 1083967640 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL JOYCE (SOLE MEMBER) |
Mailing Address: | 525 Hercules Dr Suite 1a Colchester |
State: | VT US |
Postal Code: | 054465993 |
Phone Number: | 8022645333 |
Fax Number: | 8022645338 |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0890000718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |