Provider Demographics
NPI:1710745286
Name:JOHNSON, ABBIE (LBSW)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8125 MILLS RD APT 6101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1299
Mailing Address - Country:US
Mailing Address - Phone:713-902-1714
Mailing Address - Fax:
Practice Address - Street 1:8125 MILLS RD APT 6101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1299
Practice Address - Country:US
Practice Address - Phone:713-902-1714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty