Individual
TINA LASHAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT #18043
Contact information
Practice address
5511 MONROE RD STE 206, CHARLOTTE, NC 28212-5503
(980) 273-2003
Mailing address
6922 LOWEN RD, CHARLOTTE, NC 28269-0192
(980) 273-2003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
173C00000X
Reflexologist
18043
NC
225700000X
Massage Therapist
Primary
18043
NC
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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