Provider Demographics
NPI:1437353885
Name:JOHNSON, HELEN B (CMHC)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:B
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2041
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-2041
Mailing Address - Country:US
Mailing Address - Phone:435-590-4411
Mailing Address - Fax:435-865-9123
Practice Address - Street 1:2069 N MAIN ST STE 101
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-5602
Practice Address - Country:US
Practice Address - Phone:435-590-4411
Practice Address - Fax:435-867-1199
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT343853-6004101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT90196OtherPEHP