Johnson, Acacia Lynette

Johnson, Acacia Lynette is an sole proprietor health care provider with primary practice located at 702 N Main St Ste B , Harrison AR 72601-2920. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Acacia Lynette can be contacted via phone (501) 781-2230.

Contact Information

Primary practice address
702 N Main St Ste B Harrison AR 72601-2920
Phone: (501) 781-2230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P1202014 Arkansas

Profile Details

NPI number 1912149618
LBN Legal business name Johnson, Acacia Lynette
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2009
Last updated Jul 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912149618 NPPES
Arkansas MEDICAID 1912149618
Arkansas MEDICAID 175189795

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