MS. TIFFANY DANYETTA JOHNSON BSW
NPI 1962718312
Counselor - Mental Health in Danville, IL
Active since August 24, 2010
About Ms. Tiffany Danyetta Johnson Bsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TIFFANY DANYETTA JOHNSON BSW (NPI 1962718312) is an individual mental health provider in Danville, Illinois and active in the NPI registry since August 2010.
NPPES Registry Identity
NPI1962718312
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. TIFFANY DANYETTA JOHNSONCredential: BSW
Location Address210 AVENUE CDanville, IL 61832-5410
Mailing Address210 Avenue CDanville, IL 61832-5410 · (217) 442-3200 · Fax (217) 442-7460
Phone(217) 442-3200
Fax(217) 442-7460
Sole ProprietorNo
Enumeration DateAugust 24, 2010
✔ NPI 1962718312 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
210 AVENUE C, Danville, IL 61832
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 1962718312, enumerated as an "individual" on August 24, 2010.
The provider is located at 210 AVENUE C DANVILLE, IL 61832 and the phone number is (217) 442-3200.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.