Healthcare Provider Details

I. General information

NPI: 1881999480
Provider Name (Legal Business Name): BARBARA JOHNS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 S GRAND ST
MONROE LA
71202-6322
US

IV. Provider business mailing address

4310 S GRAND ST
MONROE LA
71202-6322
US

V. Phone/Fax

Practice location:
  • Phone: 318-324-5441
  • Fax: 318-324-5442
Mailing address:
  • Phone: 318-324-5441
  • Fax: 318-324-5442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3132
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: