Organization

Kelly-johnson Counseling, Llc

Clinical Social Worker in Tampa, FL(View on Map)

Legal Business Name

Kelly-johnson Counseling, Llc

NPI Number

1073753380

NPI Type

Organization

Enumeration Date

02/26/2009

Specialties

(Taxonomies)

Code

1041C0700X
101Y00000X
101YM0800X
101YP2500X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

3802 EHRLICH RD, SUITE 304
3802 EHRLICH RD STE 304

City

Tampa
Tampa

State

FL
FL

Postal Code

33624
33624-2355

Country

US
US

Telephone Number

(813) 765-9678
(813) 765-9678

Authorized Official

Name

Ms. Juliet Johnson

Title or Position

LICENSED CLINICAL SOCIAL WORKER

Telephone Number

(813) 765-9678

Identifiers

Identifier

1396996096

Identifier State

FL

Identifier Issuer

NPI FOR JULIET M. JOHNSON, LCSW: 1396996096

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/26/2009

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