Provider Demographics
NPI:1588163257
Name:MOHR-ALMEIDA, KATHY
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:MOHR-ALMEIDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 S PRICE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6606
Mailing Address - Country:US
Mailing Address - Phone:480-573-0000
Mailing Address - Fax:
Practice Address - Street 1:48 W HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-2636
Practice Address - Country:US
Practice Address - Phone:480-329-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health