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NPI Code Detail

MEDICARE: LORI JOHNSON LMHC

MEDICARE: LORI JOHNSON LMHC
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 CounselorMH21059FL
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1659717809
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI JOHNSON LMHC
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3505 LAKE LYNDA DR STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8333
Country : US
Telephone Number : 855-501-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 05/19/2026

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