Jordan, Joyce Taylor

Jordan, Joyce Taylor is an individual health care provider with primary practice located at 14650 Detroit Avenue Suite #Ll30, Lakewood OH 44107. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Joyce Taylor can be contacted via phone (216) 226-2721.

Contact Information

Primary practice address
14650 Detroit Avenue Suite #Ll30 Lakewood OH 44107
Phone: (216) 226-2721
Fax: (216) 226-2731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0009384 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0009384 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X 954355 Ohio

Profile Details

NPI number 1417983354
LBN Legal business name Jordan, Joyce Taylor
Credentials LISW-S, LICDC, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 13th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417983354 NPPES
Ohio MEDICAID 2632431

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