Healthcare Provider Details

I. General information

NPI: 1164425674
Provider Name (Legal Business Name): MONA HELENE LOESER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

578 AZALEA RD STE 118
MOBILE AL
36609-1551
US

IV. Provider business mailing address

1500 HILLCREST RD APT 312
MOBILE AL
36695-3959
US

V. Phone/Fax

Practice location:
  • Phone: 251-643-1770
  • Fax: 251-643-1768
Mailing address:
  • Phone: 251-634-3282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPIP370-1246C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: