Individual
DESHANDRA FELISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 THOMAS ST, UNION, SC 29379-2147
(864) 582-2411
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
(864) 504-3628
(864) 594-0040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
12057
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
05/19/2021
Last updated
04/30/2026
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