Johnson, Lisa E.

Johnson, Lisa E. is an individual health care provider with primary practice located at 3112 17Th St , Saint Cloud FL 34769-6021. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Lisa E. can be contacted via phone (407) 957-4176.

Contact Information

Primary practice address
3112 17Th St Saint Cloud FL 34769-6021
Phone: (407) 957-4176
Fax: (407) 957-4359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 4835 Florida

Profile Details

NPI number 1518900067
LBN Legal business name Johnson, Lisa E.
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518900067 NPPES
Florida Other Z9306 BCBS

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