Johnson, Jefkida Lasha
Johnson, Jefkida Lasha is an individual health care provider with primary practice located at 320 1St St N Ste 612 , Jacksonville Beach FL 32250-6947. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Jefkida Lasha can be contacted via phone (334) 647-1009.Contact Information
Primary practice address
320 1St St N Ste 612
Jacksonville Beach FL 32250-6947
Phone: (334) 647-1009
Fax: (888) 856-7677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Alabama | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Alabama | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Georgia | |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | Florida | |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Georgia | |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | Alabama | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Florida |
Profile Details
| NPI number | 1639690381 |
|---|---|
| LBN Legal business name | Johnson, Jefkida Lasha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Apr 26th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639690381 | NPPES |
| Alabama | MEDICAID | 300011840 | |
| Alabama | MEDICAID | 840832 | |
| Alabama | MEDICAID | 241522 |
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