Carol S Johnson in League City - Marriage & Family Therapist
Carol S Johnson - NPI 1104977800
Carol S Johnson is a Marriage & Family Therapist in League City, Texas. Carol S Johnson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Carol S Johnson is 1104977800. The last update date is 2007-07-08.
Carol S Johnson's current location address is 614 W Main St Ste 102, League City, Texas. You can contact this provider via phone number 2813323263. The mailing address for Carol S Johnson is 614 W Main St Ste 102, League City, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol S Johnson |
|---|---|
| Address | 614 W Main St Ste 102, League City, Texas |
| Phone Number | 2813323263 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT, LPC, |
NPI Number Detail
| NPI Number | 1104977800 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 614 W Main St Ste 102 |
|---|---|
| City | League City |
| State | Texas (TX) |
| Post Code | 775733770 |
| Phone Number | 2813323263 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 179 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76042119877573 | TRICARE | ||
| LP0005876 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carol S Johnson by the Centers for Medicare & Medicaid Services?
The Carol S Johnson has been assigned the NPI (National Provider Identifier) 1104977800. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carol S Johnson is located?
The Carol S Johnson is situated at the following address: 614 W Main St Ste 102, League City, TX, 775733770.
What is the Carol S Johnson's area of specialization and corresponding taxonomy classification?
The Carol S Johnson's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1104977800 to Carol S Johnson?
The Centers for Medicare & Medicaid Services assigned the 1104977800 to Carol S Johnson on 2007-01-16.
As of what date were the Carol S Johnson's details last updated?
The information pertaining to the Carol S Johnson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY