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NPI Code Detail

MEDICARE: JOHNSON SLAUGHTER TC LLC

MEDICARE: JOHNSON SLAUGHTER TC LLC
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
1101Y00000XCounselor
2363LF0000XFamily Nurse Practitioner
3363LP0808XPsychiatric/Mental Health Nurse Practitioner
4251B00000XCase Management Agency

General Provider Information

NPI Number : 1811769805
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNSON SLAUGHTER TC LLC
Provider Business Mailing Address
First Line : 611 FRANKLIN ST
Second Line :
City : FREDERICKSBURG
State : TX
Zip : 78624-4759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 819 WATER ST STE 190
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-5343
Country : US
Telephone Number : 409-550-0965
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : ARIENNE WILLIAMS
Credential : LPC
Telephone Number : 888-988-6329
Provider Enumeration Date : 10/24/2023
Last Update Date : 12/09/2025

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Directions to “JOHNSON SLAUGHTER TC LLC ” Practice Location

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