# SHANNON JOHNSON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Wellness Center LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295326064
- **Authorized official:** SHANNON S JOHNSON LMFT (OWNER)
- **Authorized official phone:** (219) 531-0111

## Contact information

- **Practice address:** 1551 STURDY RD STE 3, VALPARAISO, IN 46383-7829
- **Practice address phone:** (219) 531-0111
- **Practice address fax:** (219) 224-4133
- **Mailing address:** 1551 STURDY RD STE 3, VALPARAISO, IN 46383-7829
- **Mailing address phone:** (219) 531-0111
- **Mailing address fax:** (219) 224-4133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 01/18/2024