| Amanda G Johnson, Lpc | |
|
98 Chapel Ct Whitesboro TX 76273-5746 | |
| (817) 944-0221 | |
| Not Available |
| Full Name | Amanda G Johnson, Lpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 98 Chapel Ct, Whitesboro, Texas |
| Authorized Official Name and Position | Amanda G Johnson (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8179440221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda G Johnson, Lpc 98 Chapel Ct Whitesboro TX 76273-5746 Ph: (817) 944-0221 | Amanda G Johnson, Lpc 98 Chapel Ct Whitesboro TX 76273-5746 Ph: (817) 944-0221 |
| NPI Number | 1992249304 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 12/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992249304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 67244 (Texas) | Primary |
The Ivory Academy Autism Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4590 Old Town Rd, Whitesboro, TX 76273 Phone: 903-818-1301 |