Provider Demographics
NPI:1326460973
Name:JOHNSON COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:JOHNSON COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MINTA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-402-2296
Mailing Address - Street 1:2601 LITTLE ELM PARKWAY
Mailing Address - Street 2:SUITE 801
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068
Mailing Address - Country:US
Mailing Address - Phone:317-402-2296
Mailing Address - Fax:
Practice Address - Street 1:2601 LITTLE ELM PARKWAY
Practice Address - Street 2:SUITE 801
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068
Practice Address - Country:US
Practice Address - Phone:317-402-2296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHNSON COUNSELING SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-16
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX585401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty