Heafner, Joy

Heafner, Joy is an individual health care provider with primary practice located at 110 Brook Farm Rd N , South Kingstown RI 02879-2721. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Heafner, Joy can be contacted via phone (401) 366-2348.

Contact Information

Primary practice address
110 Brook Farm Rd N South Kingstown RI 02879-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001997 Connecticut

Profile Details

NPI number 1366937039
LBN Legal business name Heafner, Joy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2018
Last updated Sep 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366937039 NPPES
Connecticut MEDICAID 004040564

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