Johnson, Patricia Antonia

Johnson, Patricia Antonia is an sole proprietor health care provider with primary practice located at 2627 Sandy Plains Rd Ste 101 Suite B, Marietta GA 30066-4288. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Patricia Antonia can be contacted via phone (770) 977-0313.

Contact Information

Primary practice address
2627 Sandy Plains Rd Ste 101 Suite B Marietta GA 30066-4288
Phone: (770) 977-0313
Fax: (770) 977-6761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001262 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001262 Georgia

Profile Details

NPI number 1972527000
LBN Legal business name Johnson, Patricia Antonia
Credentials Master of Science in Social Work (MSSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jan 17th, 2014 - about 12 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 1972527000 NPPES
Georgia MEDICAID 000966435B

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