Provider Demographics
NPI:1932451549
Name:JOHNSTON, CHRISTOPHER MORGAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MORGAN
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:M
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2116 LOUDENSLAGER DR
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-5312
Mailing Address - Country:US
Mailing Address - Phone:615-274-9844
Mailing Address - Fax:
Practice Address - Street 1:5226 MAIN ST STE D1
Practice Address - Street 2:MAILBOX F1
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-4210
Practice Address - Country:US
Practice Address - Phone:615-274-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9458104100000X
TN66821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker