Kathryn Johnson

Clinic/Center · Mount Dora, FL

Organization Active NPI

NPI number 1114005667

Practice location

4400 N Highway 19a
Suite 4
Mount Dora, FL 32757-2032
Phone
(352) 988-4181

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NPI record

NPI
1114005667
Entity type
Organization (Type 2)
Enumeration date
November 1, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X — —

Mailing address

5655 S Orange Ave
Orlando, FL 32809-4289
Phone
(407) 895-4100
Fax
(407) 422-4492

Authorized official

Name
Ms. Kathryn Johnson, LCSW
Title
Psychosocial Clinician II
Phone
(352) 988-4181

About Kathryn Johnson

Kathryn Johnson is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 4400 N Highway 19a, Suite 4, Mount Dora, FL 32757-2032. The NPI number 1114005667 was assigned on November 1, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Ms. Kathryn Johnson, LCSW, Psychosocial Clinician II.

Frequently asked questions

What is the NPI number of Kathryn Johnson?

The NPI number is 1114005667.

What is the phone number of Kathryn Johnson?

The phone number listed for the practice location is (352) 988-4181.

Where is Kathryn Johnson located?

4400 N Highway 19a, Suite 4, Mount Dora, FL 32757-2032.

What is the taxonomy code for Kathryn Johnson?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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