| Michaele Johnson, Llc | |
|
1699 Belvidere St El Paso TX 79912-2644 | |
| (915) 247-7862 | |
| Not Available |
| Full Name | Michaele Johnson, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1699 Belvidere St, El Paso, Texas |
| Authorized Official Name and Position | Michaele Dawn Linden-johnson (CEO, OWNER) |
| Authorized Official Contact | 9152477862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michaele Johnson, Llc 6328 Franklin Ridge Dr El Paso TX 79912-8128 Ph: (915) 247-7862 | Michaele Johnson, Llc 1699 Belvidere St El Paso TX 79912-2644 Ph: (915) 247-7862 |
| NPI Number | 1285956136 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 10/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285956136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 992151 (Colorado) | Primary |
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