Johnson, Carla
Johnson, Carla is an individual health care provider with primary practice located at 6440 S Lewis Ave Ste 2200 , Tulsa OK 74136-1060. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Carla can be contacted via phone (918) 712-0859.Contact Information
Primary practice address
6440 S Lewis Ave Ste 2200
Tulsa OK 74136-1060
Phone: (918) 712-0859
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7583 | Oklahoma |
Profile Details
| NPI number | 1225426208 |
|---|---|
| LBN Legal business name | Johnson, Carla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2014 |
| Last updated | Apr 22nd, 2024 - about 7 months 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 | 1225426208 | NPPES |
| Oklahoma | MEDICAID | 100746170G |
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