Johnson, Betty Louann
Johnson, Betty Louann is an sole proprietor health care provider with primary practice located at 2210 30Th Ave , Kearney NE 68845-9687. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Betty Louann can be contacted via phone (308) 440-8054.Contact Information
Primary practice address
2210 30Th Ave
Kearney NE 68845-9687
Phone: (308) 440-8054
Fax: (308) 234-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LADC 305 | Nebraska |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LMHP 294 | Nebraska |
Profile Details
| NPI number | 1326198243 |
|---|---|
| LBN Legal business name | Johnson, Betty Louann |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 14th, 2016 - about 10 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 | 1326198243 | NPPES |
| Nebraska | MEDICAID | 713406000 | |
| Nebraska | MEDICAID | 10025064900 | |
| Nebraska | MEDICAID | 10025131100 | |
| Nebraska | MEDICAID | 10025131000 | |
| Nebraska | Other | 84769 |
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