Johnson, Deangila Jenall
Johnson, Deangila Jenall is an sole proprietor health care provider with primary practice located at 8570 Nc Highway 211 E , Lumberton NC 28358-7763. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Deangila Jenall can be contacted via phone (910) 751-3036.Contact Information
Primary practice address
8570 Nc Highway 211 E
Lumberton NC 28358-7763
Phone: (910) 751-3036
Fax: (910) 739-4681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CADC-30672 | North Carolina |
Profile Details
| NPI number | 1851645972 |
|---|---|
| LBN Legal business name | Johnson, Deangila Jenall |
| Credentials | CADC-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2012 |
| Last updated | May 2nd, 2025 - about last year |
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 | 1851645972 | NPPES |
| North Carolina | MEDICAID | 7200535 |
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