Provider Demographics
NPI:1588459184
Name:JOHNSTON, RICHARD TODD JR (LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:TODD
Last Name:JOHNSTON
Suffix:JR
Gender:
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 FRANK LATHAM RD
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:TN
Mailing Address - Zip Code:38366-9633
Mailing Address - Country:US
Mailing Address - Phone:731-879-0428
Mailing Address - Fax:
Practice Address - Street 1:145 FRANK LATHAM RD
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:TN
Practice Address - Zip Code:38366-9633
Practice Address - Country:US
Practice Address - Phone:731-879-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health