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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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