Provider Demographics
NPI:1841614617
Name:ERIKA JOHNSON, LLC
Entity Type:Organization
Organization Name:ERIKA JOHNSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC ORGANIZER/REGISTERED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:770-630-3351
Mailing Address - Street 1:1365 GRAYLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8386
Mailing Address - Country:US
Mailing Address - Phone:770-630-3351
Mailing Address - Fax:404-585-5004
Practice Address - Street 1:4305 S LEE ST
Practice Address - Street 2:SUITE 400
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5783
Practice Address - Country:US
Practice Address - Phone:770-630-3351
Practice Address - Fax:404-585-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty