Johnson, Kyle H

Johnson, Kyle H is an sole proprietor health care provider with primary practice located at 805 Lanier Ave E , Fayetteville GA 30214-2204. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Johnson, Kyle H can be contacted via phone (770) 694-6349.

Contact Information

Primary practice address
805 Lanier Ave E Fayetteville GA 30214-2204
Phone: (770) 694-6349
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC010040 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1982268629
LBN Legal business name Johnson, Kyle H
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2019
Last updated Jan 22nd, 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.

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