Provider Demographics
NPI:1992317069
Name:JOHNSON, ERIN T (MS, NCC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:T
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 ALLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-4007
Mailing Address - Country:US
Mailing Address - Phone:205-602-8818
Mailing Address - Fax:
Practice Address - Street 1:2805 METROPOLITAN PKWY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-7915
Practice Address - Country:US
Practice Address - Phone:404-612-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor