| Alison Johnston Llc | |
|
102 Village St Ste C Slidell LA 70458-5354 | |
| (985) 727-0079 | |
| (985) 727-9699 |
| Full Name | Alison Johnston Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 102 Village St Ste C, Slidell, Louisiana |
| Authorized Official Name and Position | Alison Johnston (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9857270079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Johnston Llc 306 Jenny Ln Mandeville LA 70448-7017 Ph: (985) 727-0079 | Alison Johnston Llc 102 Village St Ste C Slidell LA 70458-5354 Ph: (985) 727-0079 |
| NPI Number | 1750537833 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Medicare PECOS PAC ID | 4688805823 |
|---|---|
| Medicare Enrollment ID | O20140401000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750537833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3760 (Louisiana) | Primary |
| Provider Name | Alison G Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811040835 PECOS PAC ID: 2365539236 Enrollment ID: I20071025000178 |
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