Organization
NIKOLAUS JOHNSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAUS JOHNSON (OWNER)
(262) 751-7119
Entity
Organization
Contact information
Practice address
1616 WABASH AVE, FORT WORTH, TX 76107-6598
(817) 953-5159
Mailing address
1616 WABASH AVE, FORT WORTH, TX 76107-6598
(817) 953-5159
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/18/2025
Last updated
09/24/2025
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