Johnson, Angel G

Johnson, Angel G is an individual health care provider with primary practice located at 301 Palmetto Park Blvd , Lexington SC 29072-7872. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Angel G can be contacted via phone (803) 359-3545.

Contact Information

Primary practice address
301 Palmetto Park Blvd Lexington SC 29072-7872
Phone: (803) 359-3545
Fax: (803) 359-2111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4956 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5215 South Carolina

Profile Details

NPI number 1457580615
LBN Legal business name Johnson, Angel G
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Aug 10th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457580615 NPPES
South Carolina MEDICAID 322842

Popular Providers