Provider Demographics
NPI:1356651731
Name:MOHR, MELANIE A (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:A
Last Name:MOHR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12351 WEST 96TH TERRACE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215
Mailing Address - Country:US
Mailing Address - Phone:913-894-0900
Mailing Address - Fax:913-894-0908
Practice Address - Street 1:12351 WEST 96TH TERRACE
Practice Address - Street 2:SUITE 300
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215
Practice Address - Country:US
Practice Address - Phone:913-894-0900
Practice Address - Fax:913-894-0908
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1160106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist