Johnson, Hattie Mae
Johnson, Hattie Mae is an individual health care provider with primary practice located at 4500 S Lancaster Rd , Dallas TX 75216-7167. 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Johnson, Hattie Mae can be contacted via phone (214) 857-0702.Contact Information
Primary practice address
4500 S Lancaster Rd
Dallas TX 75216-7167
Phone: (214) 857-0702
Fax: (214) 302-1441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4095 | Texas |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11631 | Texas |
Profile Details
NPI number | 1639181860 |
---|---|
LBN Legal business name | Johnson, Hattie Mae |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2006 |
Last updated | Jul 8th, 2007 - about 16 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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