Johnson, Kim

Johnson, Kim is an sole proprietor health care provider with primary practice located at 1404 S State Ave , Indianapolis IN 46203-2009. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is her primary health care specialty. Johnson, Kim can be contacted via phone (317) 783-4003.

Contact Information

Primary practice address
1404 S State Ave Indianapolis IN 46203-2009
Phone: (317) 783-4003
Fax: (317) 780-4810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X

Profile Details

NPI number 1508277401
LBN Legal business name Johnson, Kim
Credentials MHR, D.MIN, CSAYC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2014
Last updated May 13th, 2014 - about 10 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.

Request for update

Popular Providers