Johnson, Elizabeth Rodriguez

Johnson, Elizabeth Rodriguez is an individual health care provider with primary practice located at 5595 S University Dr , Davie FL 33328-5307. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Elizabeth Rodriguez can be contacted via phone (954) 276-3400.

Contact Information

Primary practice address
5595 S University Dr Davie FL 33328-5307
Phone: (954) 276-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MT1785 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1785 Florida

Profile Details

NPI number 1629358072
LBN Legal business name Johnson, Elizabeth Rodriguez
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Jun 6th, 2024 - about 2 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 1629358072 NPPES
Florida MEDICAID 121096300

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