IndividualActive
Amanda Johnson, PCMHT
NPI 1326723404 · Counselor · Leakesville, MS
Provider details
- NPI number
- 1326723404
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PCMHT
- Sex
- Female
- Sole proprietor
- No
- License
- 5930 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1501 Lackey St
Leakesville, MS 39451-3108
Phone: (601) 394-5047
Fax: (601) 394-6542
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2023-06-16
- Last updated
- 2023-06-16
- Certified
- 2023-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.