Individual provider · Type 1 NPI
Khyale Lamona Johnson
Mental Health Counselor · Ellenwood, GA
NPI number
1457228041
Active
Practice location
2330 River Rd
Ellenwood, GA 30294-1128
Mailing address
273 Centennial Ridge Dr
Conyers, GA 30013-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1457228041
Khyale Lamona Johnson's National Provider Identifier is 1457228041, issued on Oct 20, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellenwood, GA. The record was last updated on Oct 20, 2025.