Individual provider · Type 1 NPI

Amanda Johnson, PCMHT

Counselor · Leakesville, MS

NPI number 1326723404 Active

Practice location

1501 Lackey St
Leakesville, MS 39451-3108

Fax (601) 394-6542

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X5930 (MS)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1326723404

Amanda Johnson, PCMHT's National Provider Identifier is 1326723404, issued on Jun 16, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Leakesville, MS. The record was last updated on Jun 16, 2023.