Individual provider · Type 1 NPI
Ebony Johnson
Mental Health Clinic/Center (Including Community Mental Health Center) · Prince George, VA
NPI number
1134917818
Active
Practice location
4601 Baileys Ridge Dr Apt 6
Prince George, VA 23875-1457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
About NPI 1134917818
Ebony Johnson's National Provider Identifier is 1134917818, issued on Apr 30, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Prince George, VA. The record was last updated on Apr 30, 2025.