Individual provider · Type 1 NPI
Samuel Lee Johnson Iii, CAC, CCGC
Addiction (Substance Use Disorder) Counselor · Harvey, LA
NPI number
1184095556
Active
Practice location
2439 Manhattan Blvd Ste 102-4
Harvey, LA 70058-5473
Fax (504) 766-8457
Mailing address
PO Box 2637
Harvey, LA 70059-2637
Other practice locations
- 4120 Eve Street, New Orleans, LA 70121 · (504) 444-9883
- 2637 Edenborn Ave Ste 302, Metairie, LA 70002 · (504) 455-2446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | 010494439 (LA) |
| Military Health Care Provider | 171000000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Rehabilitation Counselor | 225C00000X | None listed |
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Counseling Psychologist | 103TC1900X | None listed |
| Professional Counselor | 101YP2500X | 5006 (LA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1603 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Harvey
About NPI 1184095556
Samuel Lee Johnson Iii, CAC, CCGC's National Provider Identifier is 1184095556, issued on Oct 12, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Harvey, LA. The record was last updated on Jan 12, 2021.