Johnson, Keyo

Johnson, Keyo is an individual health care provider with primary practice located at 630 W Cornerview St , Gonzales LA 70737. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Johnson, Keyo can be contacted via phone (225) 647-4105.

Contact Information

Primary practice address
630 W Cornerview St Gonzales LA 70737
Phone: (225) 647-4105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Louisiana

Profile Details

NPI number 1588037642
LBN Legal business name Johnson, Keyo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Oct 12th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588037642 NPPES
Louisiana MEDICAID 0435

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