Provider Demographics
NPI:1598563405
Name:MEYERS JOHNSON PSYCHOTHERAPY PLLC
Entity type:Organization
Organization Name:MEYERS JOHNSON PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:MEYERS
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:404-375-9576
Mailing Address - Street 1:2217 WALTER DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3450
Mailing Address - Country:US
Mailing Address - Phone:404-375-9576
Mailing Address - Fax:
Practice Address - Street 1:117 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1580
Practice Address - Country:US
Practice Address - Phone:404-375-9576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty