Johnson, Cassandra Latasha

Johnson, Cassandra Latasha is an sole proprietor health care provider with primary practice located at 630 Ellis St Ste 3A , Augusta GA 30901-1464. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Cassandra Latasha can be contacted via phone (706) 550-0723.

Contact Information

Primary practice address
630 Ellis St Ste 3A Augusta GA 30901-1464
Phone: (706) 550-0723
Fax: (706) 739-4624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC010321 Georgia

Profile Details

NPI number 1376924514
LBN Legal business name Johnson, Cassandra Latasha
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2015
Last updated May 30th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376924514 NPPES
Georgia Other LPC010321 LICENSED PROFESSIONAL COUNSELOR

Popular Providers