Basic Information
Provider Information
NPI: 1033488515
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOYCE
FirstName: JULIA
MiddleName: ANNE
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SMILEY
OtherFirstName: JULIA
OtherMiddleName: ANNE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 325 E PIONEER
Address2:  
City: PUYALLUP
State: WA
PostalCode: 983723265
CountryCode: US
TelephoneNumber: 2536978400
FaxNumber: 2536973730
Practice Location
Address1: 325 E PIONEER
Address2:  
City: PUYALLUP
State: WA
PostalCode: 983723265
CountryCode: US
TelephoneNumber: 2536978400
FaxNumber: 2536973730
Other Information
ProviderEnumerationDate: 12/29/2011
LastUpdateDate: 10/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400XCP00003273WAN Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
101YM0800XCG60750674WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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