Healthcare Provider Details

I. General information

NPI: 1689824104
Provider Name (Legal Business Name): SONJA HALL MAHONEY ACCPLC, BCPC, CMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONJA MAHONEY LPN

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10665 STANHAVEN PL STE 3104
WHITE PLAINS MD
20695-3055
US

IV. Provider business mailing address

10665 STANHAVEN PL STE 3104
WHITE PLAINS MD
20695-3055
US

V. Phone/Fax

Practice location:
  • Phone: 240-209-7504
  • Fax:
Mailing address:
  • Phone: 240-209-7504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLP33111
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: