Doctor Name: | MR. LOUIE RAY JOHNSON |
NPI Number: | 1265711725 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | 12295 |
Business Practice Address: | 11675 Jollyville Rd Suite 111 Austin, TX - 787593939 |
Business Phone Number: | 5122198828 |
Business Fax Number: | 5122198838 |
Mailing Address: | 11675 Jollyville Rd, Suite 111 AUSTIN |
State: | TX |
Postal Code: | 787593939 |
Phone Number: | 5122198828 |
Fax Number: | 5122198838 |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 12295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |