Provider Demographics
NPI:1245607407
Name:MAHR, DEBORAH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:MAHR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9365 NW 18TH DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5660
Mailing Address - Country:US
Mailing Address - Phone:954-476-3855
Mailing Address - Fax:
Practice Address - Street 1:9365 NW 18TH DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5660
Practice Address - Country:US
Practice Address - Phone:954-476-3855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2227101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health