Healthcare Provider Details

I. General information

NPI: 1700280807
Provider Name (Legal Business Name): ALMA LEIGH MOHR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 CANADA LANE
EUTAWVILLE SC
29048
US

IV. Provider business mailing address

PO BOX 245
EUTAWVILLE SC
29048-0245
US

V. Phone/Fax

Practice location:
  • Phone: 803-857-1235
  • Fax:
Mailing address:
  • Phone: 803-857-1235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0009920484
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13384
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: