Johnson, Annesha

Johnson, Annesha is an sole proprietor health care provider with primary practice located at 2940 E Park Ave , Tallahassee FL 32301-3446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Annesha can be contacted via phone (850) 643-1033.

Contact Information

Primary practice address
2940 E Park Ave Tallahassee FL 32301-3446
Phone: (850) 643-1033
Fax: (850) 643-5066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1508340191
LBN Legal business name Johnson, Annesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2018
Last updated Aug 9th, 2021 - 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 1508340191 NPPES
Florida MEDICAID 104150200X

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