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Organization
B JOHNSON, LLC
Active
Organization
B JOHNSON, LLC
Active
Other names
Bethany Johnson
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY JOHNSON LCSW (THERAPIST/OWNER)
(234) 444-5055
Entity
Organization
Contact information
Practice address
606 E MAIN ST, MADISON, IN 47250-4708
(812) 265-4151
Mailing address
606 E MAIN ST STE 2, MADISON, IN 47250-3689
(234) 444-5055
(812) 265-5028
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053078832
—
IN
01
—
4731973
AETNA
—
Enumeration date
11/29/2021
Last updated
09/26/2023
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