Four Rivers & Associates Llc
LBN: Andra D. Johnson
Four Rivers & Associates Llc is an health care organization with primary practice located at 4656 W Jefferson Blvd Suite 285, Fort Wayne IN 46804-6857. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Andra D. Johnson can be contacted via phone (260) 422-9372, or through Johnson, Andra D via phone (216) 798-1997.
Contact Information
Primary practice address
4656 W Jefferson Blvd Suite 285
Fort Wayne IN 46804-6857
Phone: (260) 422-9372
Fax: (260) 672-0859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 991842 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87000438A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34005636A | Indiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0009358 | Ohio |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2972-123 | Wisconsin |
Profile Details
| NPI number | 1336468271 |
|---|---|
| LBN Legal business name | Andra D. Johnson |
| DBA Doing business as | Four Rivers & Associates Llc |
| Authorized official | Johnson, Andra D LISW, LCSW, LCAC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2010 |
| Last updated | Oct 17th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336468271 | NPPES |
| Wisconsin | MEDICAID | 39628200 (-31/078) |
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