Doctor Name: | MR. TYRONE LINDON LINDSAY JOHNSON |
NPI Number: | 1356468680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.L.P.C, C.R.C |
License Number: | 6401007935 |
Business Practice Address: | 13220 Woodward Ave Highland Park, MI - 482033610 |
Business Phone Number: | 3138681946 |
Business Fax Number: | 3138683418 |
Mailing Address: | 9257 West Pickwick Circle, Building # 2 TAYLOR |
State: | MI |
Postal Code: | 48180 |
Phone Number: | 3132953671 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401007935 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
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 |