Mary Jaye Kelly Johnston in Conroe - Mental Health
Mary Jaye Kelly Johnston - NPI 1881764702
Mary Jaye Kelly Johnston is a Mental Health in Conroe, Texas. Mary Jaye Kelly Johnston practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mary Jaye Kelly Johnston is 1881764702. The last update date is 2013-10-02.
Mary Jaye Kelly Johnston's current location address is 355 Linwood, Conroe, Texas. You can contact this provider via phone number 2815366503 and fax number 9364476985. The mailing address for Mary Jaye Kelly Johnston is 355 Linwood, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jaye Kelly Johnston |
|---|---|
| Address | 355 Linwood, Conroe, Texas |
| Phone Number | 2815366503 |
| Fax Number | 9364476985 |
| Sole Proprietor | Y |
| Credentials | LPC-S |
NPI Number Detail
| NPI Number | 1881764702 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2013-10-02 |
Provider Mailing Address Detail
| Address | 355 Linwood |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773044382 |
| Phone Number | 2815366503 |
| Fax Number | 9364476985 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 15145 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 161320001 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Jaye Kelly Johnston by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Jaye Kelly Johnston has been assigned the NPI (National Provider Identifier) 1881764702. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mary Jaye Kelly Johnston?
The Mary Jaye Kelly Johnston is physically situated at 355 Linwood, in the city of Conroe, state of TX, with the postal code 773044382.
What is Mary Jaye Kelly Johnston's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Jaye Kelly Johnston is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881764702 to Mary Jaye Kelly Johnston?
The Centers for Medicare & Medicaid Services assigned the 1881764702 to Mary Jaye Kelly Johnston on 2006-11-08.
When was the information regarding Mary Jaye Kelly Johnston, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Jaye Kelly Johnston, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-02.