Provider Demographics
NPI:1508590076
Name:KAAFI COUNSELING
Entity Type:Organization
Organization Name:KAAFI COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FARTUN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, EDD
Authorized Official - Phone:561-463-0884
Mailing Address - Street 1:1499 FOREST HILL BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6050
Mailing Address - Country:US
Mailing Address - Phone:561-463-0884
Mailing Address - Fax:877-317-9406
Practice Address - Street 1:1499 FOREST HILL BLVD STE 115
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6050
Practice Address - Country:US
Practice Address - Phone:561-463-0884
Practice Address - Fax:877-317-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty