| Myra Young Johnson | |
|
301 Evins Mill Rd Smithville TN 37166-5134 | |
| (615) 809-8925 | |
| Not Available |
| Full Name | Myra Young Johnson |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 301 Evins Mill Rd, Smithville, Tennessee |
| Authorized Official Name and Position | Myra Johnson Miller (OWNER) |
| Authorized Official Contact | 6158098925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myra Young Johnson 297 Evins Mill Rd Smithville TN 37166-5134 Ph: (615) 809-8925 | Myra Young Johnson 301 Evins Mill Rd Smithville TN 37166-5134 Ph: (615) 809-8925 |
| NPI Number | 1003601170 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003601170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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