Provider Demographics
NPI:1184008740
Name:MOHAMMED, AARON (MSW)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 SW PALM DR APT 306
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-1901
Mailing Address - Country:US
Mailing Address - Phone:772-924-9118
Mailing Address - Fax:
Practice Address - Street 1:191 SW PALM DR APT 306
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1901
Practice Address - Country:US
Practice Address - Phone:772-924-9118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW10708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health