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

Tiy Johnson

Individual provider Counselor · NPI 1699374678

Tiy Johnson is a Counselor in Lakeland, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

715 N Lake Ave
Lakeland, FL 33801-1908
Phone: (863) 519-0575
Fax: (863) 582-9251
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1699374678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2020
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing addressPo Box 1559, Bartow, FL 33831-1559

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