Provider Demographics
NPI:1033986625
Name:MOHR HOPE LLC
Entity Type:Organization
Organization Name:MOHR HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:609-841-4709
Mailing Address - Street 1:7712 BANNOCKBURN TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-4845
Mailing Address - Country:US
Mailing Address - Phone:609-841-4709
Mailing Address - Fax:
Practice Address - Street 1:1819 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3836
Practice Address - Country:US
Practice Address - Phone:609-841-4709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty