Provider Demographics
NPI:1073381976
Name:ANITA M JOHNSTON L P C P A
Entity Type:Organization
Organization Name:ANITA M JOHNSTON L P C P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-602-1975
Mailing Address - Street 1:4911 E BEVERLY MAE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4937
Mailing Address - Country:US
Mailing Address - Phone:210-602-1975
Mailing Address - Fax:210-614-2266
Practice Address - Street 1:1978 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4512
Practice Address - Country:US
Practice Address - Phone:210-602-1975
Practice Address - Fax:210-614-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty