White, Joyce Marie

White, Joyce Marie is an sole proprietor health care provider with primary practice located at 1600 Dudley Ln , Bossier City LA 71112-2714. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. White, Joyce Marie can be contacted via phone (318) 415-9609.

Contact Information

Primary practice address
1600 Dudley Ln Bossier City LA 71112-2714
Phone: (318) 415-9609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5746 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PLC5746 Louisiana

Profile Details

NPI number 1225401565
LBN Legal business name White, Joyce Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2015
Last updated Nov 21st, 2023 - about last year

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 1225401565 NPPES
Louisiana MEDICAID 1417252230

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