MEDICARE: MR. AARON MICHAEL GREGOR LMHC

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	MH18424	FL

General Provider Information

NPI Number	:	1437816592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON MICHAEL GREGOR LMHC

Provider Business Mailing Address
First Line	:	5251 MOOG RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-6240
Country	:	US
Telephone Number	:	727-808-9521
Fax Number	:

Provider Business Practice Location Address
First Line	:	5251 MOOG RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-6240
Country	:	US
Telephone Number	:	727-808-9521
Fax Number	:

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

Provider Enumeration Date	:	11/23/2021
Last Update Date	:	11/23/2021

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