Healthcare Provider Details
I. General information
NPI: 1528909389
Provider Name (Legal Business Name): DAVID L. JOHNS, LMHC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
430 SUMMERHAVEN DR STE 200
DEBARY FL
32713-2755
US
IV. Provider business mailing address
2120 HOLLOWRIDGE DR
ORANGE CITY FL
32763-9227
US
V. Phone/Fax
- Phone: 407-970-8814
- Fax: 888-386-7036
- Phone: 407-970-8814
- Fax: 888-386-7036
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
LEE
JOHNS
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 407-970-8814