Provider Demographics
NPI:1013001395
Name:JOHNSON, FLORENCE (LMHC)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SOUTHWICK ST
Mailing Address - Street 2:P.O. BOX 84
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-2024
Mailing Address - Country:US
Mailing Address - Phone:413-786-6410
Mailing Address - Fax:413-789-9623
Practice Address - Street 1:30 SOUTHWICK ST
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-2024
Practice Address - Country:US
Practice Address - Phone:413-786-6410
Practice Address - Fax:413-789-9623
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5881101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health