Individual
DR. DESMOND ORVILLE MAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2012 EASTVIEW PKWY STE 400, CONYERS, GA 30013-5701
(770) 679-0586
Mailing address
2215 EXCHANGE PL SE STE A, CONYERS, GA 30013-6723
(770) 679-0586
(770) 285-6325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01191
GA
101YM0800X
Mental Health Counselor
MFT000266
PA
106H00000X
Marriage & Family Therapist
MFT000266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AETNA
PSYCHOLOGICAL SERVICES
PA
01
—
BLUE CROSS BLUE SHIE
PSYCHOLOGICAL SERRVICES
PA
01
—
BLUECROSSBLUE SHIELD
PSYCHOLOGICAL SERVICES
DE
01
—
BLUECROSSBLUESHIELD
PSYCHOLOGICAL SERVICES
NJ
01
—
HIGHMARK
PSYCHOLOGICAL SERVICES
PA
01
—
HORIZONBLUE CROSS
PSYCHOLOGICAL SERVICES
NJ
01
—
PERSONAL CHOICE
PSYCHOLOGICAL SERVICES
PA
01
—
UNITED HEALTHCARE
PSYCHOLOGICAL SERVICES
—
Enumeration date
12/22/2006
Last updated
11/10/2020
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