MEDICARE: JOHNSON-JAMES GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP2701X	Group Psychotherapy Psychologist
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1144920794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON-JAMES GROUP, LLC

Provider Business Mailing Address
First Line	:	1908 ACACIAWOOD WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-0006
Country	:	US
Telephone Number	:	775-348-7422
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 ACACIAWOOD WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-0006
Country	:	US
Telephone Number	:	775-348-7422
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MS. DEBORAH JOHNSON-JAMES
Credential	:	LCSW
Telephone Number	:	177-534-8742

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	03/03/2023

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