KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC. NPI 1295284123

NPI Information

NPI: 1295284123
Provider Name: KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3904 MILLER AVE
JACKSON, MS
ZIP 39213
Phone: (417) 849-8479
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KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC. is a professional counselor in Jackson, MS. KERRY JOHNSON BEHAVIORAL HEALTH SERVICES INC. NPI is 1295284123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3904 MILLER AVE
JACKSON, MS
ZIP 39213-965
Phone: (417) 849-8479

The provider's authorized official is Kerry C. Johnson .
The authorized official title is Owner and has the following contact phone number (417) 849-8479.

The enumeration date for this NPI number is 10/4/2016 and was last updated on 10/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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