Johnson, Wanda Y
Johnson, Wanda Y is an sole proprietor health care provider with primary practice located at 1201 N Watson Rd Suite 144, Arlington TX 76006-6190. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Wanda Y can be contacted via phone (817) 633-2092.Contact Information
Primary practice address
1201 N Watson Rd Suite 144
Arlington TX 76006-6190
Phone: (817) 633-2092
Fax: (817) 633-2094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1532 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 08895 | Texas |
Profile Details
NPI number | 1144249822 |
---|---|
LBN Legal business name | Johnson, Wanda Y |
Credentials | LPC,LMFT, PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2006 |
Last updated | May 1st, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144249822 | NPPES |
Texas | Other | 752342350 | TAX IDENTIFICATION NUMBER |
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