Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Johnson

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1134917818

Ebony Johnson is a Mental Health Clinic/Center (Including Community Mental Health Center) in Prince George, Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4601 Baileys Ridge Dr Apt 6
Prince George, VA 23875-1457
Phone: (804) 605-3963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1134917818
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address4601 Baileys Ridge Dr Apt 6, Prince George, VA 23875-1457