Fortner-Edris, Joy Jennifer
Fortner-Edris, Joy Jennifer is an sole proprietor health care provider with primary practice located at 185 Riley Smith Drive , Greenville SC 29615. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fortner-Edris, Joy Jennifer can be contacted via phone (864) 297-5101.Contact Information
Primary practice address
185 Riley Smith Drive
Greenville SC 29615
Phone: (864) 297-5101
Fax: (864) 297-5423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5473 | South Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5267 | South Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5482 | South Carolina |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 4599 | South Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | South Carolina |
Profile Details
NPI number | 1740546225 |
---|---|
LBN Legal business name | Fortner-Edris, Joy Jennifer |
Credentials | LPC, LMFT, CACP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 9th, 2012 |
Last updated | Mar 12th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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