Johnson Mccallum, Chontel A
Johnson Mccallum, Chontel A is an sole proprietor health care provider with primary practice located at 10380 Sw Village Center Dr Ste 111 , Port Saint Lucie FL 34987-1931. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson Mccallum, Chontel A can be contacted via phone (954) 608-9093.Contact Information
Primary practice address
10380 Sw Village Center Dr Ste 111
Port Saint Lucie FL 34987-1931
Phone: (954) 608-9093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1073060075 |
|---|---|
| LBN Legal business name | Johnson Mccallum, Chontel A |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2016 |
| Last updated | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073060075 | NPPES |
| Florida | MEDICAID | 070812700 |
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