Provider Demographics
NPI:1235959065
Name:JOY FOR THE SOUL HEALTH AND WELLNESS
Entity type:Organization
Organization Name:JOY FOR THE SOUL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDECZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:313-605-7753
Mailing Address - Street 1:PO BOX 2642
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48112-2642
Mailing Address - Country:US
Mailing Address - Phone:313-605-7753
Mailing Address - Fax:
Practice Address - Street 1:7215 CASTELL BLVD
Practice Address - Street 2:
Practice Address - City:VAN BUREN TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48111-1885
Practice Address - Country:US
Practice Address - Phone:313-605-7753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty