Provider Demographics
NPI:1871274266
Name:EL GHAWIL, MOHAMED AAB (MBBS, MA, LPCC)
Entity type:Individual
Prefix:DR
First Name:MOHAMED AAB
Middle Name:
Last Name:EL GHAWIL
Suffix:
Gender:M
Credentials:MBBS, MA, LPCC
Other - Prefix:DR
Other - First Name:MOHAMMED ALI
Other - Middle Name:
Other - Last Name:EL GHAWIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS, MA, LPCC
Mailing Address - Street 1:4212 BRIDGESTONE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-8005
Mailing Address - Country:US
Mailing Address - Phone:202-322-6190
Mailing Address - Fax:
Practice Address - Street 1:8102 ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-7310
Practice Address - Country:US
Practice Address - Phone:202-322-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health