Healthcare Provider Details

I. General information

NPI: 1376480756
Provider Name (Legal Business Name): MR. JOHNNY WILLIAM LITTLEJOHN JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1468 W 9TH ST
CLEVELAND OH
44113-1268
US

IV. Provider business mailing address

19922 SWEETGUM CIR APT 33
GERMANTOWN MD
20874-3777
US

V. Phone/Fax

Practice location:
  • Phone: 216-438-3349
  • Fax:
Mailing address:
  • Phone: 240-597-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: