Johnson, Shirley B
Johnson, Shirley B is an sole proprietor health care provider with primary practice located at 3806 N Main St , Victoria TX 77901-2638. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Shirley B can be contacted via phone (361) 485-0899.Contact Information
Primary practice address
3806 N Main St
Victoria TX 77901-2638
Phone: (361) 485-0899
Fax: (361) 485-0817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18348 | Texas |
Profile Details
| NPI number | 1023194685 |
|---|---|
| LBN Legal business name | Johnson, Shirley B |
| Credentials | M.ED., LBSW, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 17th, 2008 - about 16 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 | 1023194685 | NPPES |
| Texas | MEDICAID | 161116201 | |
| Texas | Other | 84827L |
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