| Tonya Dorline Johnson Lcsw Llc | |
|
610 Thimble Shoals Blvd Ste 404 Newport News VA 23606-4509 | |
| (757) 291-3339 | |
| Not Available |
| Full Name | Tonya Dorline Johnson Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 610 Thimble Shoals Blvd Ste 404, Newport News, Virginia |
| Authorized Official Name and Position | Tonya Dorline Johnson (CEO) |
| Authorized Official Contact | 7572913339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Dorline Johnson Lcsw Llc 610 Thimble Shoals Blvd Ste 403 Newport News VA 23606-2573 Ph: (757) 534-7840 | Tonya Dorline Johnson Lcsw Llc 610 Thimble Shoals Blvd Ste 404 Newport News VA 23606-4509 Ph: (757) 291-3339 |
| NPI Number | 1801394382 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801394382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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