Provider Demographics
NPI:1316774326
Name:HAVE JOY MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:HAVE JOY MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALECIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:TOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-403-9093
Mailing Address - Street 1:5326 FALLWOOD DR APT 109
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-5645
Mailing Address - Country:US
Mailing Address - Phone:317-403-9093
Mailing Address - Fax:
Practice Address - Street 1:5326 FALLWOOD DR APT 109
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-5645
Practice Address - Country:US
Practice Address - Phone:317-403-9093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health