Individual
CAMIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 ROBINSON RD, STE 121, GRAND PRAIRIE, TX 75051
(214) 264-5340
Mailing address
802 S CARRIER PKWY UNIT 532184, GRAND PRAIRIE, TX 75053-0790
(214) 264-5340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
146D00000X
Personal Emergency Response Attendant
—
—
164W00000X
Licensed Practical Nurse
Primary
346042
TX
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225800000X
Recreation Therapist
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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