Tiffany Deanna Johnson, LPC | |
2638 Two Notch Rd Ste 210, Columbia, SC 29204-1454 | |
(803) 983-5262 | |
Not Available |
Full Name | Tiffany Deanna Johnson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2638 Two Notch Rd Ste 210, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457015612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 7296 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | 8359 (South Carolina) | Primary |
Entity Name | Charleston Counseling Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Deanna Johnson, LPC 532 Oakbrook Village Rd, Columbia, SC 29223-4236 Ph: (038) 983-5262 | Tiffany Deanna Johnson, LPC 2638 Two Notch Rd Ste 210, Columbia, SC 29204-1454 Ph: (803) 983-5262 |
Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585 | |
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685 | |
Brenda Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 | |
Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777 | |
Ashley Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9376 Fax: 803-726-9485 | |
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351 | |
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846 |