MEDICARE: PAUL SOHR LMHC, C.A.P., ICADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	5753	FL
2	101YM0800X	Mental Health Counselor	MH12874	FL

General Provider Information

NPI Number	:	1861817199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL SOHR LMHC, C.A.P., ICADC

Provider Business Mailing Address
First Line	:	1800 SE 3RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2877
Country	:	US
Telephone Number	:	754-227-8937
Fax Number	:	754-200-5155

Provider Business Practice Location Address
First Line	:	1800 SE 3RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2877
Country	:	US
Telephone Number	:	754-227-8937
Fax Number	:	754-200-5155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2014
Last Update Date	:	09/30/2014

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