Healthcare Provider Details

I. General information

NPI: 1508590076
Provider Name (Legal Business Name): KAAFI COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 PALM BEACH LAKES BLVD STE 210
WEST PALM BEACH FL
33409-3506
US

IV. Provider business mailing address

1920 PALM BEACH LAKES BLVD STE 210
WEST PALM BEACH FL
33409-3506
US

V. Phone/Fax

Practice location:
  • Phone: 561-463-0884
  • Fax:
Mailing address:
  • Phone: 561-463-0884
  • Fax: 877-317-9406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: FARTUN S MOHAMUD
Title or Position: OWNER AND CLINIC DIRECTOR
Credential: LMHC, ED.D.
Phone: 561-463-0884