JOHNATHON ROBERT LPC, LMFT
NPI 1356729610
Counselor - Mental Health in Monroe, LA
Active since May 07, 2015
About Johnathon Robert Lpc, Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHON ROBERT LPC, LMFT (NPI 1356729610) is an individual mental health provider in Monroe, Louisiana, licensed in Louisiana (4485) and active in the NPI registry since May 2015.
NPPES Registry Identity
NPI1356729610
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHNATHON ROBERTCredential: LPC, LMFT
Location Address622 RIVERSIDE DRMonroe, LA 71201-6211
Mailing Address622 Riverside DrMonroe, LA 71201-6211 · (318) 398-0945 · Fax (318) 398-4314
Phone(318) 398-0945
Fax(318) 398-4314
Sole ProprietorYes
Enumeration DateMay 7, 2015
✔ NPI 1356729610 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · 4485
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 1149 (LA)
622 RIVERSIDE DR, Monroe, LA 71201
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 1356729610, enumerated as an "individual" on May 07, 2015.
The provider is located at 622 RIVERSIDE DR MONROE, LA 71201 and the phone number is (318) 398-0945.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.