Johnson, Henrietta

Johnson, Henrietta is an individual health care provider with primary practice located at 1835 N Gilmore Avenue Peace River Center, Lakeland FL 33805. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Johnson, Henrietta can be contacted via phone (863) 248-3300.

Contact Information

Primary practice address
1835 N Gilmore Avenue Peace River Center Lakeland FL 33805
Fax: (863) 413-2719
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1861698292
LBN Legal business name Johnson, Henrietta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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

Popular Providers