Healthcare Provider Details

I. General information

NPI: 1326487547
Provider Name (Legal Business Name): MOLLY HOH MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6604 TANGLEWOOD BAY DR APT 1004
ORLANDO FL
32821-9373
US

IV. Provider business mailing address

6604 TANGLEWOOD BAY DR APT 1004
ORLANDO FL
32821-9373
US

V. Phone/Fax

Practice location:
  • Phone: 407-595-5541
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH11145
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: