Johnson, Samuel Lee

Johnson, Samuel Lee is an sole proprietor health care provider with primary practice located at 2439 Manhattan Blvd Ste 102-4 , Harvey LA 70058-5473. He recently has 12 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Transportation Services / Non-emergency Medical Transport (VAN), Other Service Providers / Military Health Care Provider, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Johnson, Samuel Lee can be contacted via phone (504) 261-4976.

Contact Information

Primary practice address
2439 Manhattan Blvd Ste 102-4 Harvey LA 70058-5473
Phone: (504) 261-4976
Fax: (504) 766-8457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 010494439 Louisiana
Other Service Providers / Military Health Care Provider 171000000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5006 Louisiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1603 Louisiana

Profile Details

NPI number 1184095556
LBN Legal business name Johnson, Samuel Lee
Credentials CAC, CCGC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2015
Last updated Jan 12th, 2021 - about 3 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 1184095556 NPPES
Louisiana Other 461582868 461582868

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