Provider Demographics
NPI:1447933098
Name:JOINT, JOSELOUITA
Entity type:Individual
Prefix:
First Name:JOSELOUITA
Middle Name:
Last Name:JOINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BROADWAY APT 8
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-6323
Mailing Address - Country:US
Mailing Address - Phone:347-358-7590
Mailing Address - Fax:
Practice Address - Street 1:477 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5802
Practice Address - Country:US
Practice Address - Phone:347-855-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty