Provider Demographics
NPI:1801545710
Name:GROVES, JOY (MA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:GROVES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOUTH OF WILSON
Mailing Address - State:VA
Mailing Address - Zip Code:24363-3004
Mailing Address - Country:US
Mailing Address - Phone:276-579-2027
Mailing Address - Fax:
Practice Address - Street 1:2847 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:MOUTH OF WILSON
Practice Address - State:VA
Practice Address - Zip Code:24363-3003
Practice Address - Country:US
Practice Address - Phone:276-768-9027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-20
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health