| NPI | 1053078832 |
|---|---|
| Doing Business As | BETHANY JOHNSON |
| Entity Type | Organization |
| Authorized Contact | BETHANY JOHNSON Therapist/Owner 234-444-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-09-26 |