MEDICARE: IBRAHIM BAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174485338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IBRAHIM BAH

Provider Business Mailing Address
First Line	:	5809 SUNSHINE BROOK LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-5982
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5809 SUNSHINE BROOK LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-5982
Country	:	US
Telephone Number	:	727-922-1559
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	11/26/2025

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Directions to “ IBRAHIM BAH ” Practice Location

Language	Start Address	Practice Location

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