Healthcare Provider Details

I. General information

NPI: 1871274266
Provider Name (Legal Business Name): MOHAMED AAB EL GHAWIL MBBS, MA, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MOHAMMED ALI EL GHAWIL MBBS, MA, LPCC

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8102 ROCK CREEK RD
WACO TX
76708-7310
US

IV. Provider business mailing address

4212 BRIDGESTONE DR
FORT WORTH TX
76123-8005
US

V. Phone/Fax

Practice location:
  • Phone: 202-322-6190
  • Fax:
Mailing address:
  • Phone: 202-322-6190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11911
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: