Johnson, Tanisha

Johnson, Tanisha is an sole proprietor health care provider with primary practice located at 110 Woodside Rd , Greenville NC 27834-1129. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Johnson, Tanisha can be contacted via phone (252) 302-0700.

Contact Information

Primary practice address
110 Woodside Rd Greenville NC 27834-1129
Phone: (252) 302-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1073916870
LBN Legal business name Johnson, Tanisha
Credentials M.A. R, MDIV.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2014
Last updated Oct 16th, 2014 - about 11 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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