Healthcare Provider Details

I. General information

NPI: 1982520326
Provider Name (Legal Business Name): EMILY JOHNSON CPRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 LANCASTER PIKE
WILMINGTON DE
19805-1511
US

IV. Provider business mailing address

3700 LANCASTER PIKE STE 105
WILMINGTON DE
19805-1511
US

V. Phone/Fax

Practice location:
  • Phone: 302-842-2390
  • Fax: 302-496-6267
Mailing address:
  • Phone: 302-842-2390
  • Fax: 302-294-3189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number2490
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: