Johnson, Antoinette V
Johnson, Antoinette V is an sole proprietor health care provider with primary practice located at 10307 Pleasant View Dr , Leesburg FL 34788-3853. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Antoinette V can be contacted via phone (352) 742-7566.Contact Information
Primary practice address
10307 Pleasant View Dr
Leesburg FL 34788-3853
Phone: (352) 742-7566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH5785 | Florida |
Profile Details
| NPI number | 1508091968 |
|---|---|
| LBN Legal business name | Johnson, Antoinette V |
| Credentials | REGISTERED MENTAL HE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2009 |
| Last updated | Jul 17th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508091968 | NPPES |
| Florida | MEDICAID | MH5785 |
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