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MR. TOMMIE EARL JOHNSON LLMSW NPI 1255926143


NPI Information

NPI: 1255926143
Provider Name: MR. TOMMIE EARL JOHNSON, LLMSW
Classification: Prevention Professional - 405300000X
Entity Type: Individual
Address:
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI
ZIP 49418
Phone: (616) 222-5300
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MR. Tommie Earl Johnson, LLMSW is a prevention professional in Grandville, MI. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. MR. Tommie Earl Johnson, LLMSW NPI is 1255926143. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI
ZIP 49418-583
Phone: (616) 222-5300
Fax: (616) 531-0447

The enumeration date for this NPI number is 3/3/2021 and was last updated on 3/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
2405300000XPrevention Professional680115877MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.