Johnson, Lisa

Johnson, Lisa is an sole proprietor health care provider with primary practice located at 26 Pinto Ln , Palm Coast FL 32164-7071. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Lisa can be contacted via phone (386) 586-6801.

Contact Information

Primary practice address
26 Pinto Ln Palm Coast FL 32164-7071
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1235771064
LBN Legal business name Johnson, Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2019
Last updated Oct 14th, 2019 - about 5 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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