Johnson, Machelle
Johnson, Machelle is an individual health care provider with primary practice located at 2600 Executive Park Nw , Cleveland TN 37312-2705. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Machelle can be contacted via phone (423) 458-4122.Contact Information
Primary practice address
2600 Executive Park Nw
Cleveland TN 37312-2705
Phone: (423) 458-4122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3509 | Tennessee |
Profile Details
| NPI number | 1336539139 |
|---|---|
| LBN Legal business name | Johnson, Machelle |
| Credentials | LPC/MHSP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2015 |
| Last updated | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336539139 | NPPES |
| Tennessee | MEDICAID | Q017960 |
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