Provider Demographics
NPI:1700421039
Name:MOHR, DENISA (LPC)
Entity Type:Individual
Prefix:
First Name:DENISA
Middle Name:
Last Name:MOHR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LONESOME STAR TRL
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-4172
Mailing Address - Country:US
Mailing Address - Phone:817-715-7838
Mailing Address - Fax:
Practice Address - Street 1:1706 TENNISON PKWY STE 140
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8018
Practice Address - Country:US
Practice Address - Phone:817-715-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health