Individual
MAYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2180 UNION AVE, MEMPHIS, TN 38104-4205
(901) 300-9993
Mailing address
4019 S GERMANTOWN RD, MEMPHIS, TN 38125-2621
(901) 878-5717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
39005322A
IN
101YM0800X
Mental Health Counselor
6401225035
MI
101YM0800X
Mental Health Counselor
Primary
6853
TN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
03/17/2026
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