Johnson, Gloria A
Johnson, Gloria A is an individual health care provider with primary practice located at 1997 Highway 51 S , Covington TN 38019-3630. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Gloria A can be contacted via phone (901) 475-3593.Contact Information
Primary practice address
1997 Highway 51 S
Covington TN 38019-3630
Phone: (901) 475-3593
Fax: (901) 313-1124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4175 | Tennessee |
Profile Details
| NPI number | 1134567407 |
|---|---|
| LBN Legal business name | Johnson, Gloria A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2013 |
| Last updated | Jun 10th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134567407 | NPPES |
| Tennessee | Other | 4175 | LCSW |
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