Johnston, Tracy Lyn

Johnston, Tracy Lyn is an sole proprietor health care provider with primary practice located at 165 Wells Rd Ste 165 , Orange Park FL 32073. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnston, Tracy Lyn can be contacted via phone (904) 269-3522.

Contact Information

Primary practice address
165 Wells Rd Ste 165 Orange Park FL 32073
Phone: (904) 269-3522
Fax: (904) 269-3424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 2841 Florida

Profile Details

NPI number 1770619561
LBN Legal business name Johnston, Tracy Lyn
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Oct 5th, 2018 - about 6 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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