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

Mrs. Katrena Faye Johnson, SUPPORTEDLIVINGCOA

Individual provider Contractor · NPI 1396755773

Mrs. Katrena Faye Johnson, SUPPORTEDLIVINGCOA is a Contractor in Greenwood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

4500 Crusaders Way
Greenwood, FL 32443-6907
Phone: (850) 209-0195
Fax: (850) 592-8195
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X (FL)

Record details

NPI number1396755773
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUPPORTEDLIVINGCOA
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 8, 2007