Provider Demographics
NPI:1255500088
Name:KOHN, LAURA L (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:L
Last Name:KOHN
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 1:4840 NE 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4817
Mailing Address - Country:US
Mailing Address - Phone:954-465-3580
Mailing Address - Fax:
Practice Address - Street 1:2400 W CYPRESS CREEK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1824
Practice Address - Country:US
Practice Address - Phone:954-465-3580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health