DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CLEMENTINE JOHNSON

MEDICARE: CLEMENTINE JOHNSON
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518601095
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEMENTINE JOHNSON
Provider Business Mailing Address
First Line : 3510 LINWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4512
Country : US
Telephone Number : 318-636-4194
Fax Number : 318-636-4196
Provider Business Practice Location Address
First Line : 3510 LINWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4512
Country : US
Telephone Number : 318-636-4194
Fax Number : 318-636-4196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2022
Last Update Date : 12/21/2025

Similar Medicare Providers

1144307034 — METROPOLITAN CIRCLES, LLC
Practice Location Address:
3510 LINWOOD AVE
SHREVEPORT, LA
71103-4512
Practice Phone: 318-636-4194
Practice Fax: 318-636-4196
1508924911 — METROPOLITAN CIRCLES, LLC
Practice Location Address:
3510 LINWOOD AVE
SHREVEPORT, LA
71103-4512
Practice Phone: 318-636-4194
Practice Fax: 318-636-4196
1093931016 — METROPOLITAN CIRCLES, LLC
Practice Location Address:
3510 LINWOOD AVE
SHREVEPORT, LA
71103-4512
Practice Phone: 318-636-4194
Practice Fax: 318-636-4196
1043436066 — METROPOLITAN CIRCLES, LLC
Practice Location Address:
3510 LINWOOD AVE
SHREVEPORT, LA
71103-4512
Practice Phone: 318-636-4194
Practice Fax: 318-636-4194
1649496662 — METROPOLITAN CIRCLES, LLC
Practice Location Address:
3510 LINWOOD AVE
SHREVEPORT, LA
71103-4512
Practice Phone: 318-636-4194
Practice Fax: 318-636-4196
1467678482 — METROPOLITAN CIRCLES, LLC
Practice Location Address:
3510 LINWOOD AVE
SHREVEPORT, LA
71103-4512
Practice Phone: 318-636-4194
Practice Fax: 318-636-4196

Directions to “ CLEMENTINE JOHNSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.