Provider Demographics
NPI:1548442429
Name:MCGREGOR, MONA (LMHC)
Entity type:Individual
Prefix:MS
First Name:MONA
Middle Name:
Last Name:MCGREGOR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 MCCORMICK DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-1046
Mailing Address - Country:US
Mailing Address - Phone:727-418-8212
Mailing Address - Fax:727-723-0770
Practice Address - Street 1:2623 MCCORMICK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-1046
Practice Address - Country:US
Practice Address - Phone:727-418-8212
Practice Address - Fax:727-723-0770
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health