Johnson, Carol S

Johnson, Carol S is an sole proprietor health care provider with primary practice located at 614 W Main St Ste 102 , League City TX 77573-3770. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Carol S can be contacted via phone (281) 332-3263.

Contact Information

Primary practice address
614 W Main St Ste 102 League City TX 77573-3770
Phone: (281) 332-3263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8923 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0179 Texas

Profile Details

NPI number 1104977800
LBN Legal business name Johnson, Carol S
Credentials LMFT, LPC, CEAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1104977800 NPPES
Other 76042119877573 TRICARE
MEDICAID LP0005876 TRICARE

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