Organization · Type 2 NPI

Melita Travis Johnson, Lmsw, CCDP

Community/Behavioral Health Agency · Grand Rapids, MI

NPI number 1417355322 Active

Practice location

770 Kenmoor Ave SE Ste 103
Grand Rapids, MI 49546-8602

Call (616) 481-9337 Map

Fax (616) 719-3119

Mailing address

1130 Elmdale Ave NE
Grand Rapids, MI 49525-2632

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X6801063274 (MI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1417355322

Melita Travis Johnson, Lmsw, CCDP's National Provider Identifier is 1417355322, issued on Dec 9, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 9, 2014.