Johnson, Phyllis W
Johnson, Phyllis W is an individual health care provider with primary practice located at 325 Ebenezer Rd , Knoxville TN 37923. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Johnson, Phyllis W can be contacted via phone (865) 670-0988.Contact Information
Primary practice address
325 Ebenezer Rd
Knoxville TN 37923
Phone: (865) 670-0988
Fax: (865) 670-1991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC788 | Tennessee |
Profile Details
| NPI number | 1376681072 |
|---|---|
| LBN Legal business name | Johnson, Phyllis W |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376681072 | NPPES |
| Tennessee | Other | 3130541 | BCBS |
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