Johnson, Ivy
Johnson, Ivy is an sole proprietor health care provider with primary practice located at 4115 Mineral Haven Dr , Houston TX 77048-5555. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Ivy can be contacted via phone (713) 409-2979.Contact Information
Primary practice address
4115 Mineral Haven Dr
Houston TX 77048-5555
Phone: (713) 409-2979
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 70848 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 67180 | Texas |
Profile Details
NPI number | 1174030894 |
---|---|
LBN Legal business name | Johnson, Ivy |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 3rd, 2018 |
Last updated | Jan 3rd, 2018 - about 7 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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