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

Henrietta Johnson

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1245121896

Henrietta Johnson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

4729 Grand Cypress Ct
Raleigh, NC 27604-5877
Phone: (919) 272-2594
Fax: (919) 272-2594
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X (NC)

Record details

NPI number1245121896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

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