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

Mr. Tommie Earl Johnson, LLMSW

Individual provider Intellectual & Developmental Disabilities Psychologist · NPI 1255926143

Mr. Tommie Earl Johnson, LLMSW is an Intellectual & Developmental Disabilities Psychologist in Grandville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583
Phone: (616) 222-5300
Fax: (616) 531-0447
Show map & directions

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

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 680115877 (MI)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X

Record details

NPI number1255926143
Entity typeIndividual (Type 1)
GenderMale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021