Healthcare Provider Details

I. General information

NPI: 1326853045
Provider Name (Legal Business Name): AALIYAH MAURICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 N TWYMAN RD
INDEPENDENCE MO
64058-3212
US

IV. Provider business mailing address

3205 N TWYMAN RD
INDEPENDENCE MO
64058-3212
US

V. Phone/Fax

Practice location:
  • Phone: 480-660-8757
  • Fax:
Mailing address:
  • Phone: 480-660-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: