Johnson, Wanda Y

Johnson, Wanda Y is an sole proprietor health care provider with primary practice located at 1201 N Watson Rd Suite 144, Arlington TX 76006-6190. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Wanda Y can be contacted via phone (817) 633-2092.

Contact Information

Primary practice address
1201 N Watson Rd Suite 144 Arlington TX 76006-6190
Phone: (817) 633-2092
Fax: (817) 633-2094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1532 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 08895 Texas

Profile Details

NPI number 1144249822
LBN Legal business name Johnson, Wanda Y
Credentials LPC,LMFT, PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated May 1st, 2023 - about 3 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 1144249822 NPPES
Texas Other 752342350 TAX IDENTIFICATION NUMBER

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