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Organization

PINNACLE ENRICHMENT HEALTHCARE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MYRON V. JOHNSON DOCTOR OF PSYCHOLOGY (PRINCIPAL/ OWNER)
(901) 270-8002
Entity
Organization

Contact information

Practice address
1300 MERCANTILE LN STE 150, LARGO, MD 20774-5334
(901) 270-8002
Mailing address
1300 MERCANTILE LN STE 150, LARGO, MD 20774-5334
(901) 270-8002

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-2462
TN

Other

Enumeration date
03/05/2018
Last updated
03/05/2018
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