Organization
RIVERVIEW BEHAVIOR HEALTH SERVICES
Active
Other names
Michelle Johnson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE JOHNSON LMFT (THERAPIST)
(601) 218-7041
Entity
Organization
Contact information
Practice address
1905 MISSION 66 # B, VICKSBURG, MS 39180-3751
(601) 883-7000
Mailing address
1905 MISSION 66 # B, VICKSBURG, MS 39180-3751
(601) 883-7000
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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