Johnson-Mccrackin, Tina

Johnson-Mccrackin, Tina is an individual health care provider with primary practice located at 7250 Clearvista Dr Ste 260 , Indianapolis IN 46256-4686. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Johnson-Mccrackin, Tina can be contacted via phone (317) 621-1690.

Contact Information

Primary practice address
7250 Clearvista Dr Ste 260 Indianapolis IN 46256-4686
Phone: (317) 621-1690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 35001613A Indiana
Behavioral Health & Social Service Providers / School 101YS0200X 35001613A Indiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001613A Indiana

Profile Details

NPI number 1679587398
LBN Legal business name Johnson-Mccrackin, Tina
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 31st, 2023 - about last year

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 1679587398 NPPES
Indiana MEDICAID 100270530A

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