National Provider Identifier

K Johnson Enterprises LLC

K Johnson Enterprises LLC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Austin, TX and a listed phone number of (512) 910-5188.

NPI 1750915963Austin, TXAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated February 26, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1750915963
Provider Type
Organization
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
February 26, 2020
Last Updated
February 26, 2020

Practice Location

  • 7901 Cameron RD Ste 2-139
  • Austin, TX 78754-3802

Phone: (512) 910-5188

Mailing Address

  • PO Box 144031
  • Austin, TX 78714-4031

Authorized Official

Name
Mrs. Y. Diana Johnson
Title
Counselor
Credentials
MA, LCDC
Phone
(512) 910-5188

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

Endpoints

  • Laptop

    Connect Url | Austin, TX 78754

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Full Record
NPI
1750915963
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
K Johnson Enterprises LLC
Mailing Street Address
PO Box 144031
Mailing City
Austin
Mailing State
TX
Mailing ZIP Code
78714-4031
Mailing Country
US
Mailing Phone
(512) 910-5188
Practice Street Address
7901 Cameron RD Ste 2-139
Practice City
Austin
Practice State
TX
Practice ZIP Code
78754-3802
Practice Country
US
Practice Phone
(512) 910-5188
Enumeration Date
February 26, 2020
Last Updated
February 26, 2020
Authorized Official Last Name
Johnson
Authorized Official First Name
Y. Diana
Authorized Official Title
Counselor
Authorized Official Phone
(512) 910-5188
Organization Subpart
Yes
Parent Organization Name
K JOHNSON ENTERPRISES LLC
Parent Organization TIN
<UNAVAIL>
Authorized Official Name Prefix Text
Mrs.
Authorized Official Credential Text
MA, LCDC
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
February 26, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)