Mack-Leonard, Joyce

Mack-Leonard, Joyce is an sole proprietor health care provider with primary practice located at 402 Corder Rd Suite 200, Warner Robins GA 31088-3785. 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. Mack-Leonard, Joyce can be contacted via phone (478) 929-4962.

Contact Information

Primary practice address
402 Corder Rd Suite 200 Warner Robins GA 31088-3785
Fax: (478) 928-4960
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 000718 Georgia

Profile Details

NPI number 1215989694
LBN Legal business name Mack-Leonard, Joyce
Credentials MFS LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Dec 6th, 2016 - about 10 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 1215989694 NPPES
Georgia MEDICAID 488595116A

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