Johnson, Melissa Marie
Johnson, Melissa Marie is an sole proprietor health care provider with primary practice located at 9 Vose Avenue , South Orange NJ 07079. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Nutritionist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Melissa Marie can be contacted via phone (973) 901-9428.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37PC00707200 | New Jersey |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 37PC00707200 | New Jersey |
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00707200 | New Jersey |
Profile Details
| NPI number | 1255946216 |
|---|---|
| LBN Legal business name | Johnson, Melissa Marie |
| Credentials | MA, LPC, NCC, ATR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2020 |
| Last updated | Jul 27th, 2022 - about 2 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 | 1255946216 | NPPES |
| New Jersey | MEDICAID | 1578927851 |
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