Provider Demographics
NPI:1043013543
Name:JOYCE, JAZMINE T
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:T
Last Name:JOYCE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5140 N BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-4802
Mailing Address - Country:US
Mailing Address - Phone:773-600-6334
Mailing Address - Fax:
Practice Address - Street 1:800 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9021
Practice Address - Country:US
Practice Address - Phone:847-558-7327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health