| Alicia Johnson, LMFT | |
|
121 Leopard Ln, Brevard, NC 28712-8609 | |
| (843) 801-3892 | |
| Not Available |
| Full Name | Alicia Johnson |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 121 Leopard Ln, Brevard, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790370245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 7041 (South Carolina) | Primary |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230608002286 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Johnson, LMFT 121 Leopard Ln, Brevard, NC 28712-8609 Ph: (843) 801-3892 | Alicia Johnson, LMFT 121 Leopard Ln, Brevard, NC 28712-8609 Ph: (843) 801-3892 |
Ward D Johnson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 45 N Country Club Rd, Brevard, NC 28712 Phone: 619-584-1725 Fax: 619-584-4697 | |
Mr. James Marion Johnston, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 529 Country Club Rd, Brevard, NC 28712 Phone: 828-883-9676 Fax: 828-884-9753 | |
Gail Masterson, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 268 Allison Rd, Brevard, NC 28712 Phone: 828-508-6753 |