Bethany Johnson
LBN: B Johnson, Llc
Bethany Johnson is an health care organization with primary practice located at 606 E Main St , Madison IN 47250-4708. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
B Johnson, Llc can be contacted via phone (812) 265-4151, or through Johnson, Bethany via phone (234) 444-5055.
Contact Information
Primary practice address
606 E Main St
Madison IN 47250-4708
Phone: (812) 265-4151
Fax:
Website:
Authorized official contact:
Name: Johnson, Bethany Licensed Clinical Social Worker (LCSW)
Phone: (234) 444-5055
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1053078832 |
|---|---|
| LBN Legal business name | B Johnson, Llc |
| DBA Doing business as | Bethany Johnson |
| Authorized official | Johnson, Bethany Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2021 |
| Last updated | Sep 26th, 2023 - about 2 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 | 1053078832 | NPPES |
| Indiana | MEDICAID | 1053078832 | |
| Indiana | Other | 4731973 |
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