Doctor Name: | MRS. AMANDA INEZ JOHNSON |
NPI Number: | 1487752226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2118 |
Business Practice Address: | 150 Glenwood Ln Birmingham, AL - 352425700 |
Business Phone Number: | 2057953366 |
Business Fax Number: | 2057953398 |
Mailing Address: | 7536 Breane Dr, TRUSSVILLE |
State: | AL |
Postal Code: | 351732614 |
Phone Number: | 2057953366 |
Fax Number: | 2057953398 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |