Shirley Lee Johnson
Individual provider Active NPI Mental Health Counselor · Marion, LA
NPI 1497274468 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1497274468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 003189742 (LA)
- Practice address
- 480 Saint Paul Church Rd
Marion, LA 71260-4835 - Phone
- (318) 548-2377
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003189742 | LA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 003189742 | LA | Yes |
Addresses
Primary practice location
480 Saint Paul Church Rd
Marion, LA 71260-4835
Mailing address
480 Saint Paul Church Rd
Marion, LA 71260-4835
Phone (318) 548-2377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003189742 | Medicaid | LA |
Other names
- Ms. Shirley Lee Johnson
Other providers in Marion, LA
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- Douglas Council
- Lori Farr
- Hannah Renee Givens
- Hopeful Horizons, L.L.C.
- Bruce Michael Matte
- Matte'S Pharmacy Inc
- Morehouse Community Medical Centers, Inc.
- Jamie Michelle Norris
- Galen Roberts
All providers in Marion, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.