Individual provider · Type 1 NPI

Talissa Johnson, LPC, LMHP

Professional Counselor · Lake Charles, LA

NPI number 1487006524 Active

Practice location

751 Bayou Pines East Dr Ste C
Lake Charles, LA 70601-7196

Fax (337) 433-3293

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500X8989 (LA)
Mental Health Counselor 101YM0800XPLPC-8989 (LA)
Mental Health Counselor 101YM0800X8989 (LA)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1487006524

Talissa Johnson, LPC, LMHP's National Provider Identifier is 1487006524, issued on Jul 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Charles, LA. The record was last updated on Jun 30, 2024.