| Melanie Johnson, Lcsw, Llc | |
|
522 Belvedere Dr Kokomo IN 46901-5627 | |
| (765) 453-4527 | |
| (317) 863-2602 |
| Full Name | Melanie Johnson, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 522 Belvedere Dr, Kokomo, Indiana |
| Authorized Official Name and Position | Stacey L Beeson (OWNER, BILLING CO.) |
| Authorized Official Contact | 3178632593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Johnson, Lcsw, Llc 9979 Orange Blossom Trl Fishers IN 46038-7447 Ph: (317) 863-2593 | Melanie Johnson, Lcsw, Llc 522 Belvedere Dr Kokomo IN 46901-5627 Ph: (765) 453-4527 |
| NPI Number | 1417119884 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417119884 | NPI | - | NPPES |
| 1871574475 | Other | IN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34004095A (Indiana) | Primary |
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