Provider Demographics
NPI:1922440395
Name:MOHR COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:MOHR COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-245-0088
Mailing Address - Street 1:401 E LOUTHER ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2657
Mailing Address - Country:US
Mailing Address - Phone:717-245-0088
Mailing Address - Fax:717-245-0095
Practice Address - Street 1:401 E LOUTHER ST
Practice Address - Street 2:SUITE 219
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2657
Practice Address - Country:US
Practice Address - Phone:717-245-0088
Practice Address - Fax:717-245-0095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA168667Medicare PIN