Provider Demographics
NPI:1689824104
Name:HALL MAHONEY, SONJA (ACCPLC, BCPC, CMHC)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:HALL MAHONEY
Suffix:
Gender:F
Credentials:ACCPLC, BCPC, CMHC
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:
Other - Last Name:MAHONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:10665 STANHAVEN PL STE 3104
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3055
Mailing Address - Country:US
Mailing Address - Phone:240-209-7504
Mailing Address - Fax:
Practice Address - Street 1:10665 STANHAVEN PL STE 3104
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3055
Practice Address - Country:US
Practice Address - Phone:240-209-7504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101YP1600X, 171400000X, 374K00000X, 171M00000X, 251K00000X, 372600000X
MDLP33111164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171400000XOther Service ProvidersHealth & Wellness Coach
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251K00000XAgenciesPublic Health or Welfare
No372600000XNursing Service Related ProvidersAdult Companion
No164W00000XNursing Service ProvidersLicensed Practical Nurse