Provider Demographics
NPI:1386740801
Name:COHEN, ARIC (CSW)
Entity type:Individual
Prefix:
First Name:ARIC
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30375 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3297
Mailing Address - Country:US
Mailing Address - Phone:248-224-0982
Mailing Address - Fax:248-254-6755
Practice Address - Street 1:30375 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3297
Practice Address - Country:US
Practice Address - Phone:248-224-0982
Practice Address - Fax:248-254-6755
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical