Provider Demographics
NPI:1861817199
Name:SOHR, PAUL (LMHC, CAP, ICADC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:SOHR
Suffix:
Gender:M
Credentials:LMHC, CAP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SE 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2877
Mailing Address - Country:US
Mailing Address - Phone:754-227-8937
Mailing Address - Fax:754-200-5155
Practice Address - Street 1:1800 SE 3RD AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2877
Practice Address - Country:US
Practice Address - Phone:754-227-8937
Practice Address - Fax:754-200-5155
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5753101YA0400X
FLMH12874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)