Melita Travis Johnson, LMSW, Ccdp
Melita Travis Johnson, LMSW, Ccdp is a Community/Behavioral Health Agency in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2014.
- Licensed in
- MI
- In the registry since
- 2014
Practice location Address checks out
770 Kenmoor Ave SE Ste 103Grand Rapids, MI 49546-8602
Phone: (616) 481-9337
Fax: (616) 719-3119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 6801063274 (MI) |
|---|
Record details
| NPI number | 1417355322 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melita Travis Johnson — Therapist Consultant · (616) 481-9337 |
| NPI enumerated | December 9, 2014 |
| Last updated in NPPES | December 9, 2014 |
| Mailing address | 1130 Elmdale Ave Ne, Grand Rapids, MI 49525-2632 |
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