Provider Demographics
NPI:1649924606
Name:JOHNSON, NATIKA T (LPC, LCDC, NCC)
Entity type:Individual
Prefix:
First Name:NATIKA
Middle Name:T
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19214 CLAY ROAD
Mailing Address - Street 2:SUITE R #2090
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3092
Mailing Address - Country:US
Mailing Address - Phone:281-644-0334
Mailing Address - Fax:
Practice Address - Street 1:19214 CLAY ROAD
Practice Address - Street 2:SUITE R #2090
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3092
Practice Address - Country:US
Practice Address - Phone:281-644-0334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15357101YA0400X
TX84899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty