MR. TRACY LAMONT JOHNSON
NPI 1962859132
Counselor - Pastoral in Shreveport, LA
- Individual
- Male
- Counselor
- Pastoral
About TRACY JOHNSON
This page provides the complete NPI Profile along with additional information for Tracy Johnson, a provider established in Shreveport, Louisiana with a medical specialization in Counselor, focusing in pastoral . The healthcare provider is registered in the NPI registry with number 1962859132 assigned on May 2016. The practitioner's primary taxonomy code is 101YP1600X. The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1962859132 Verify this NPI
- Provider Name
- MR. TRACY LAMONT JOHNSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2924 KNIGHT ST SHREVEPORT, LA 71105
- Location Phone
- (318) 754-3560
- Mailing Address
- 114 HAMMERLY DR SHREVEPORT, LA 71115
- Mailing Phone
- (318) 584-9666
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-18-2016
- Last Update Date
- 05-18-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Pastoral
- Taxonomy Code
- 101YP1600X
- Type
- Behavioral Health & Social Service Providers
- License State
- LA
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962859132, enumerated as an "individual" on May 18, 2016.
The provider is located at 2924 KNIGHT ST SHREVEPORT, LA 71105 and the phone number is (318) 754-3560.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.
