Provider Demographics
NPI:1902059900
Name:PASCALL, JOYE MYREA
Entity Type:Individual
Prefix:MISS
First Name:JOYE
Middle Name:MYREA
Last Name:PASCALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOYE
Other - Middle Name:
Other - Last Name:PASCALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA/LLP
Mailing Address - Street 1:21700 GREENFIELD RD
Mailing Address - Street 2:STE 253
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2581
Mailing Address - Country:US
Mailing Address - Phone:248-968-2600
Mailing Address - Fax:248-968-2626
Practice Address - Street 1:21700 GREENFIELD RD
Practice Address - Street 2:STE 253
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2581
Practice Address - Country:US
Practice Address - Phone:248-968-2600
Practice Address - Fax:248-968-2626
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4784339Medicaid
MI0P02620Medicare UPIN