| Amanda Johnson, PCMHT | |
|
1501 Lackey St, Leakesville, MS 39451-3108 | |
| (601) 394-5047 | |
| (601) 394-6542 |
| Full Name | Amanda Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1501 Lackey St, Leakesville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326723404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 5930 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Johnson, PCMHT Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Amanda Johnson, PCMHT 1501 Lackey St, Leakesville, MS 39451-3108 Ph: (601) 394-5047 |
Kaneesha Roby, PCIDDT Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 Oak St, Leakesville, MS 39451 Phone: 601-394-2887 | |
Diona Dickerson, CCSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Lackey St, Leakesville, MS 39451 Phone: 601-394-5047 | |
Jennifer Fisher, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Lackey St, Leakesville, MS 39451 Phone: 601-394-5047 | |
Olivia Roberts, PCCSSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Lackey St, Leakesville, MS 39451 Phone: 601-394-5047 Fax: 601-394-6542 | |
Amber Davis, PCCSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Lackey St, Leakesville, MS 39451 Phone: 601-394-5047 |