Maul, Desmond Orville
Maul, Desmond Orville is an sole proprietor health care provider with primary practice located at 2012 Eastview Pkwy Ste 400 , Conyers GA 30013-5701. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Maul, Desmond Orville can be contacted via phone (770) 679-0586.Contact Information
Primary practice address
2012 Eastview Pkwy Ste 400
Conyers GA 30013-5701
Phone: (770) 679-0586
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFT000266 | Pennsylvania |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT000266 | Pennsylvania |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 01191 | Georgia |
Profile Details
NPI number | 1841354768 |
---|---|
LBN Legal business name | Maul, Desmond Orville |
Credentials | LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 22nd, 2006 |
Last updated | Nov 10th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841354768 | NPPES |
Pennsylvania | Other | PERSONAL CHOICE | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | AETNA | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | HORIZONBLUE CROSS | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | BLUECROSSBLUESHIELD | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | HIGHMARK | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | BLUE CROSS BLUE SHIE | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | BLUECROSSBLUE SHIELD | PSYCHOLOGICAL SERVICES |
Pennsylvania | Other | UNITED HEALTHCARE | PSYCHOLOGICAL SERVICES |
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