Provider Demographics
NPI:1164425674
Name:LOESER, MONA HELENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MONA
Middle Name:HELENE
Last Name:LOESER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 HILLCREST RD
Mailing Address - Street 2:APT 312
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3959
Mailing Address - Country:US
Mailing Address - Phone:251-634-3282
Mailing Address - Fax:
Practice Address - Street 1:578 AZALEA RD
Practice Address - Street 2:STE 118
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-1551
Practice Address - Country:US
Practice Address - Phone:251-643-1770
Practice Address - Fax:251-643-1768
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPIP370-1246C1041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health