| Johnson Christian Counseling | |
|
4100 E Piedras Dr Ste 140 San Antonio TX 78228-1425 | |
| (210) 719-0237 | |
| (210) 547-0256 |
| Full Name | Johnson Christian Counseling |
|---|---|
| Speciality | Counselor |
| Location | 4100 E Piedras Dr Ste 140, San Antonio, Texas |
| Authorized Official Name and Position | Travis Johnson (OWNER) |
| Authorized Official Contact | 2107190237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Christian Counseling 5118 Green Coral San Antonio TX 78223-4543 Ph: (210) 719-0237 | Johnson Christian Counseling 4100 E Piedras Dr Ste 140 San Antonio TX 78228-1425 Ph: (210) 719-0237 |
| NPI Number | 1669166013 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 4880046481 |
|---|---|
| Medicare Enrollment ID | O20240119000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669166013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Travis W Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487323820 PECOS PAC ID: 5799137394 Enrollment ID: I20240119001304 |
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