Provider Demographics
NPI:1912525338
Name:MOHR, MARYLYNN MAE PAULETTE (MS, LPC)
Entity Type:Individual
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First Name:MARYLYNN
Middle Name:MAE PAULETTE
Last Name:MOHR
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Gender:F
Credentials:MS, LPC
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Mailing Address - Street 1:5455 CAROLEAN ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-3193
Mailing Address - Country:US
Mailing Address - Phone:770-718-7629
Mailing Address - Fax:
Practice Address - Street 1:430 PRIOR ST NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3441
Practice Address - Country:US
Practice Address - Phone:678-971-5355
Practice Address - Fax:678-971-5359
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GALPC011641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional