Provider Demographics
NPI:1730447384
Name:T.JOHNSON & ASSOCIATES, LLC
Entity type:Organization
Organization Name:T.JOHNSON & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRATITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPC, LAC
Authorized Official - Phone:504-265-8115
Mailing Address - Street 1:5200 LAPALCO BLVD
Mailing Address - Street 2:SUITE #2
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4254
Mailing Address - Country:US
Mailing Address - Phone:504-265-8115
Mailing Address - Fax:
Practice Address - Street 1:5200 LAPALCO BLVD
Practice Address - Street 2:SUITE #2
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4254
Practice Address - Country:US
Practice Address - Phone:504-265-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty