Individual
MS. LESLYE ELLIOTT MOHRMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
11123 PARKVIEW PLAZA DR, SUITE 200, FORT WAYNE, IN 46845-1707
(260) 672-6510
(260) 672-6501
Mailing address
11123 PARKVIEW PLAZA DR, SUITE 200, FORT WAYNE, IN 46845-1707
(260) 672-6510
(260) 672-6501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000577A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000173847
ANTHEM
—
01
—
290878000
MAGELLAN
—
Enumeration date
04/26/2007
Last updated
07/08/2007
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