Tl Johnson Counseling Services, Llc | |
Tracey Johnson 150 Oakland Ave. Suite 200 Rock Hill SC 29730-4068 | |
(803) 334-4056 | |
Not Available |
Full Name | Tl Johnson Counseling Services, Llc |
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Speciality | Clinic/Center |
Location | Tracey Johnson, Rock Hill, South Carolina |
Authorized Official Name and Position | Tracey L Johnson (OWNER) |
Authorized Official Contact | 8033344056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tl Johnson Counseling Services, Llc Po Box 36144 Rock Hill SC 29732-0502 Ph: (803) 334-4056 | Tl Johnson Counseling Services, Llc Tracey Johnson 150 Oakland Ave. Suite 200 Rock Hill SC 29730-4068 Ph: (803) 334-4056 |
NPI Number | 1467235143 |
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Provider Enumeration Date | 08/16/2023 |
Last Update Date | 08/16/2023 |
Medicare PECOS PAC ID | 8022462613 |
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Medicare Enrollment ID | O20231002000213 |
Identifier | Type | State | Issuer |
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1467235143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Tracey L Johnson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396816385 PECOS PAC ID: 2062607518 Enrollment ID: I20101112000963 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |