Provider Demographics
NPI:1497177521
Name:LAGMAY-JOHNSON, ARLENE (MFTI)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:LAGMAY-JOHNSON
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11774 STONEWALL SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-1576
Mailing Address - Country:US
Mailing Address - Phone:702-945-8777
Mailing Address - Fax:
Practice Address - Street 1:2595 S CIMARRON RD STE 107
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2697
Practice Address - Country:US
Practice Address - Phone:702-476-2899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-08
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist