Chad Johnson

Peer Specialist · Malvern, AR

Individual Active NPI

NPI number 1134955099

Practice location

1615 Martin Luther King Blvd
Malvern, AR 72104-2233
Phone
(501) 332-5236

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NPI record

NPI
1134955099
Entity type
Individual (Type 1)
Enumeration date
September 9, 2024
Last updated
September 16, 2024
Certified
September 16, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

Mailing address

125 Wellness Way
Hot Springs, AR 71913-6478
Phone
(501) 624-7111

About Chad Johnson

Chad Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1615 Martin Luther King Blvd, Malvern, AR 72104-2233. The NPI number 1134955099 was assigned on September 9, 2024 and the record was last updated on September 16, 2024.

Frequently asked questions

What is the NPI number of Chad Johnson?

The NPI number is 1134955099.

What is the phone number of Chad Johnson?

The phone number listed for the practice location is (501) 332-5236.

Where is Chad Johnson located?

1615 Martin Luther King Blvd, Malvern, AR 72104-2233.

What is the taxonomy code for Chad Johnson?

The primary taxonomy code is 175T00000X – Peer Specialist.

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.