Individual
DR. SYRENIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1751 DANCY BLVD, HORN LAKE, MS 38637-1916
(662) 892-2660
Mailing address
1350 SUNSET DR STE D, GRENADA, MS 38901-4079
(662) 892-2660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
109681
TX
1041C0700X
Clinical Social Worker
5078C
AL
1041C0700X
Clinical Social Worker
6830
TN
1041C0700X
Clinical Social Worker
Primary
C9498
MS
Other
Enumeration date
06/01/2016
Last updated
11/29/2025
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