Johnson, Betty Louann

Johnson, Betty Louann is an sole proprietor health care provider with primary practice located at 2210 30Th Ave , Kearney NE 68845-9687. She 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Betty Louann can be contacted via phone (308) 440-8054.

Contact Information

Primary practice address
2210 30Th Ave Kearney NE 68845-9687
Phone: (308) 440-8054
Fax: (308) 234-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LADC 305 Nebraska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHP 294 Nebraska

Profile Details

NPI number 1326198243
LBN Legal business name Johnson, Betty Louann
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 14th, 2016 - about 8 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 1326198243 NPPES
Nebraska MEDICAID 713406000
Nebraska MEDICAID 10025064900
Nebraska MEDICAID 10025131100
Nebraska MEDICAID 10025131000
Nebraska Other 84769

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