Johnson-Caldwell, Lisa

Johnson-Caldwell, Lisa is an individual health care provider with primary practice located at 785 Anthony Drive , Anthony NM 88021-2671. 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-Caldwell, Lisa can be contacted via phone (575) 882-5100.

Contact Information

Primary practice address
785 Anthony Drive Anthony NM 88021-2671
Fax: (575) 882-1151
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X T-CTL0214961 New Mexico

Profile Details

NPI number 1982279030
LBN Legal business name Johnson-Caldwell, Lisa
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2021
Last updated May 21st, 2021 - about 3 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 1982279030 NPPES
New Mexico MEDICAID 35650338

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