1144406919 NPI number — MRS. SHARON DENISE JOHNSON M.A., LPC

Table of content: MRS. SHARON DENISE JOHNSON M.A., LPC (NPI 1144406919)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144406919 NPI number — MRS. SHARON DENISE JOHNSON M.A., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSON
Provider First Name:
SHARON
Provider Middle Name:
DENISE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144406919
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19367 RIVERVIEW STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DETROIT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48219-4685
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
313-537-5327
Provider Business Mailing Address Fax Number:
313-592-6882

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19367 RIVERVIEW ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DETROIT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48219-4685
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
313-537-5327
Provider Business Practice Location Address Fax Number:
313-592-6882
Provider Enumeration Date:
01/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  6401005641 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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