| Doctor Name: | MR. HIRAM K JOHNSON |
| NPI Number: | 1154467306 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LCSW |
| License Number: | 3241142C |
| Business Practice Address: | 29000 Us Highway 98 Ste A305 Daphne, AL - 365267263 |
| Business Phone Number: | 2516265797 |
| Business Fax Number: | 2516265798 |
| Mailing Address: | 29000 Us Highway 98 Ste A305, DAPHNE |
| State: | AL |
| Postal Code: | 365267263 |
| Phone Number: | 2516265797 |
| Fax Number: | 2516265798 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 04/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3241142C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |