Provider Demographics
NPI:1487879995
Name:HORTON, ELISA ANN MOHN (LMFT, LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:ANN MOHN
Last Name:HORTON
Suffix:
Gender:F
Credentials:LMFT, LMHC, NCC
Other - Prefix:
Other - First Name:ELISA
Other - Middle Name:ANN
Other - Last Name:MOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, EDS
Mailing Address - Street 1:901 SW MARTIN DOWNS BLVD
Mailing Address - Street 2:STE. 317
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-2851
Mailing Address - Country:US
Mailing Address - Phone:772-426-9955
Mailing Address - Fax:772-781-8388
Practice Address - Street 1:901 SW MARTIN DOWNS BLVD
Practice Address - Street 2:STE. 317
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-2851
Practice Address - Country:US
Practice Address - Phone:772-426-9955
Practice Address - Fax:772-781-8388
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8749101YM0800X
FLMT 2182106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health