Provider Demographics
NPI:1366246357
Name:OUGHTERSON, AUBREY GREER
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:GREER
Last Name:OUGHTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 SE DARIEN RD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5814
Mailing Address - Country:US
Mailing Address - Phone:904-802-1795
Mailing Address - Fax:
Practice Address - Street 1:1680 SW BAYSHORE BLVD STE 233
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-3519
Practice Address - Country:US
Practice Address - Phone:772-353-2485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health