Provider Demographics
NPI:1982297008
Name:A GOOD PLACE THERAPY BY KERRIE MOHR, LCSW, PC
Entity Type:Organization
Organization Name:A GOOD PLACE THERAPY BY KERRIE MOHR, LCSW, PC
Other - Org Name:A GOOD PLACE THERAPY PACIFIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-227-4343
Mailing Address - Street 1:225 BROADWAY STE 2070
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-3001
Mailing Address - Country:US
Mailing Address - Phone:212-227-4343
Mailing Address - Fax:
Practice Address - Street 1:2485 CLAY ST STE 104
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1874
Practice Address - Country:US
Practice Address - Phone:415-329-2882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty