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Organization
AJA DIVINE HEALING
Active
Organization
AJA DIVINE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE DALISIA JOHNSON (CEO)
(346) 815-7774
Entity
Organization
Contact information
Practice address
14407 SWANFIELD DR, HOUSTON, TX 77083-6140
(346) 815-7774
Mailing address
11212 WESTPARK DR APT 814, HOUSTON, TX 77042-5072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QB0400X
Birthing Clinic/Center
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/15/2022
Last updated
02/14/2025
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