Melita Travis Johnson, Lmsw, Ccdp

LBN: Melita Travis Johnson, Lmsw, Ccdp
Melita Travis Johnson, Lmsw, Ccdp is an health care organization with primary practice located at 770 Kenmoor Ave Se Ste 103 , Grand Rapids MI 49546-8602. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Melita Travis Johnson, Lmsw, Ccdp can be contacted via phone (616) 481-9337, or through Travis Johnson, Melita via phone (616) 481-9337.

Contact Information

Primary practice address
770 Kenmoor Ave Se Ste 103 Grand Rapids MI 49546-8602
Phone: (616) 481-9337
Fax: (616) 719-3119
Website:
Map and Directions
Authorized official contact:
Name: Travis Johnson, Melita LMSW, CCDP
Phone: (616) 481-9337

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 6801063274 Michigan

Profile Details

NPI number 1417355322
LBN Legal business name Melita Travis Johnson, Lmsw, Ccdp
DBA Doing business as
Authorized official Travis Johnson, Melita LMSW, CCDP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2014
Last updated Dec 9th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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