Johnson, Sherise Lashun

Johnson, Sherise Lashun is an sole proprietor health care provider with primary practice located at 2051 W Grand Blvd , Detroit MI 48208-1105. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Johnson, Sherise Lashun can be contacted via phone (313) 961-3700.

Contact Information

Primary practice address
2051 W Grand Blvd Detroit MI 48208-1105
Phone: (313) 961-3700
Fax: (313) 961-3769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 6802068925 Michigan

Profile Details

NPI number 1619061231
LBN Legal business name Johnson, Sherise Lashun
Credentials LBSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 5th, 2020 - about 4 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 1619061231 NPPES
Michigan Other 6802068925 STATE LICENSE NUMBER

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