# JOYFUL ALEGRIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104514512
- **Authorized official:** YOLANDA CASILLAS PHD (FOUNDER)
- **Authorized official phone:** (219) 487-4388

## Contact information

- **Practice address:** 2545 BLAKE RD, PORTAGE, IN 46368-1817
- **Practice address phone:** (219) 413-1817
- **Mailing address:** 2545 BLAKE RD, PORTAGE, IN 46368-1817
- **Mailing address phone:** (219) 413-1817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2023
- **Last updated:** 04/29/2023