Khyale Lamona Johnson

NPI #1457228041 in Ellenwood, Georgia

Provider Information

NPI Number: 1457228041
Entity Type: Individual
Name: Khyale Lamona Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 20, 2025
Last Updated: Oct 20, 2025

Practice Location

Address: 2330 RIVER RD
City: Ellenwood
State: Georgia
ZIP Code: 30294-1128
Phone: (678) 874-3902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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