Johnson, Serenity

Johnson, Serenity is an individual health care provider with primary practice located at 6296 Village Square Drive 2, Bridgeport MI 48722. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Johnson, Serenity can be contacted via phone (989) 401-1239.

Contact Information

Primary practice address
6296 Village Square Drive 2 Bridgeport MI 48722
Phone: (989) 401-1239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1780258384
LBN Legal business name Johnson, Serenity
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2021
Last updated Mar 25th, 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.

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