Johnson, Elizabeth

Johnson, Elizabeth is an individual health care provider with primary practice located at 3120 N Oak Street Ext Ste B , Valdosta GA 31602-5910. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Johnson, Elizabeth can be contacted via phone (229) 671-6100.

Contact Information

Primary practice address
3120 N Oak Street Ext Ste B Valdosta GA 31602-5910
Fax: (229) 671-6761
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 005053 Georgia

Profile Details

NPI number 1821380130
LBN Legal business name Johnson, Elizabeth
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated May 4th, 2011 - about 13 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 1821380130 NPPES
Georgia Other 005053 LICENSE

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