# L. B. JOHNSON THERAPEUTICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407604564
- **Authorized official:** MARITZA KENITA ROBINSON (OWNER)
- **Authorized official phone:** (281) 317-7745

## Contact information

- **Practice address:** 4780 I 55 N STE 100, JACKSON, MS 39211-5583
- **Practice address phone:** (281) 317-7745
- **Mailing address:** 4780 I 55 N STE 100, JACKSON, MS 39211-5583
- **Mailing address phone:** (281) 317-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024