| NPI | 1518846724 |
|---|---|
| Former Legal Business Name | JOHANNAH SONG LLC |
| Doing Business As | JOHANNAH SONG THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOHANNAH SONG Owner 817-704-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-10-17 |