MEDICARE: ANNCHRISTINE JOHNSON LMFT

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
1	101YS0200X	School Counselor
2	106H00000X	Marriage & Family Therapist	1153	TN

General Provider Information

NPI Number	:	1740662923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNCHRISTINE JOHNSON LMFT

Provider Business Mailing Address
First Line	:	5924 ABBOTT DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-6203
Country	:	US
Telephone Number	:	615-715-4327
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 BILLINGSLY CT STE 20
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6445
Country	:	US
Telephone Number	:	615-715-4327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	05/22/2023

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