Leon Johnson is a Professional in Clyde, Texas. Leon Johnson practices all healthcare services and medical treatments related to Professional. The NPI Number for Leon Johnson is 1770647083. The last update date is 2007-07-08.
Leon Johnson's current location address is 4780 Fm 603, Clyde, Texas. You can contact this provider via phone number 3256680665 and fax number 3256733310. The mailing address for Leon Johnson is 4780 Fm 603, Clyde, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon Johnson |
|---|---|
| Address | 4780 Fm 603, Clyde, Texas |
| Phone Number | 3256680665 |
| Fax Number | 3256733310 |
| Sole Proprietor | Y |
| Credentials | MED, LPC |
NPI Number Detail
| NPI Number | 1770647083 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4780 Fm 603 |
|---|---|
| City | Clyde |
| State | Texas (TX) |
| Post Code | 795106148 |
| Phone Number | 3256680665 |
| Fax Number | 3256733310 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 17598 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 342444 | TX | MANAGED HEALTH NETWORK | |
| 6576LC | TX | BLUECROSS BLUESHIELD | |
| 1499873-01 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Leon Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Leon Johnson has been assigned the NPI (National Provider Identifier) 1770647083. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Leon Johnson?
The Leon Johnson is situated at 4780 Fm 603, in the city of Clyde, state of TX, with the zip code 795106148.
What is Leon Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leon Johnson's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
When did the Leon Johnson receive its 1770647083?
The Leon Johnson was issued its 1770647083 on 2006-12-21, which is the date when the organization was assigned this unique identifier.
When was the information related to Leon Johnson most recently updated or refreshed?
The details pertaining to the Leon Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY