Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Molly Port, LPC

Individual provider Professional Counselor · NPI 1124431101

Molly Port, LPC is a Mental Health Counselor in Lake Havasu City, Arizona. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1930 Mesquite Ave Ste # 1A
Lake Havasu City, AZ 86403
Phone: (928) 855-4900
Fax: (928) 855-4902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-16468 (AZ)

Record details

NPI number1124431101
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 6, 2014
Last updated in NPPESAugust 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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