Johnson, Beverly
Johnson, Beverly is an sole proprietor health care provider with primary practice located at 7178 Columbia Gateway Dr , Columbia MD 21046-2581. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Beverly can be contacted via phone (410) 313-6202.Contact Information
Primary practice address
7178 Columbia Gateway Dr
Columbia MD 21046-2581
Phone: (410) 313-6202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA111 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11488 | Maryland |
Profile Details
| NPI number | 1649406356 |
|---|---|
| LBN Legal business name | Johnson, Beverly |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2009 |
| Last updated | Jun 9th, 2009 - about 17 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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