Aesha Mustafa | Ann Arbor, MI • PECOS Search

Aesha Mustafa

Social Worker

Behavioral Health & Social Service Providers

122 S Main St, Suite 200, Ann Arbor, MI 48104-1929

PECOS Enrollment

Based on the most recent information from CMS, provider Aesha Mustafa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1912442302
Provider Type
Individual
Full Name
Mustafa, Aesha
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/21/2016
Last Updated
12/21/2016

Contact Information

Practice Location

122 S Main St, Suite 200, Ann Arbor, MI 48104-1929

Unlisted Fax

Mailing Location

3200 Greenfield Rd, Suite 250, Dearborn, MI 48120-1802

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801095233 Michigan