Provider Demographics
NPI:1174952873
Name:HYMON, JOHNNIE B
Entity type:Individual
Prefix:MR
First Name:JOHNNIE
Middle Name:B
Last Name:HYMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2001
Mailing Address - Country:US
Mailing Address - Phone:785-845-7799
Mailing Address - Fax:785-215-6200
Practice Address - Street 1:2703 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-2001
Practice Address - Country:US
Practice Address - Phone:785-845-7799
Practice Address - Fax:785-215-6200
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker