Individual
MAHMOUD IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27991 CENTER RIDGE RD, WESTLAKE, OH 44145-3902
(440) 455-3230
Mailing address
27991 CENTER RIDGE RD, WESTLAKE, OH 44145-3902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881101780
—
TX
Enumeration date
08/10/2020
Last updated
04/16/2026
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