LANCE CORDELL JOHNSON
NPI 1275806010
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bethany, OK
Active since February 09, 2012
About Lance Cordell Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANCE CORDELL JOHNSON (NPI 1275806010) is an individual mental health (including community mental health center) provider in Bethany, Oklahoma and active in the NPI registry since February 2012.
NPPES Registry Identity
NPI1275806010
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameLANCE CORDELL JOHNSON
Location Address7908 NW 23RD STBethany, OK 73008-4950
Mailing Address7508 S Linn AveOklahoma City, OK 73159-4612 · (405) 443-1481
Phone(405) 636-1463
Sole ProprietorYes
Enumeration DateFebruary 9, 2012
✔ NPI 1275806010 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7908 NW 23RD ST, Bethany, OK 73008
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275806010, enumerated as an "individual" on February 09, 2012.
The provider is located at 7908 NW 23RD ST BETHANY, OK 73008 and the phone number is (405) 636-1463.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).