Provider Demographics
NPI:1558241091
Name:NWAOBI, AUSTINE (LMHC)
Entity type:Individual
Prefix:
First Name:AUSTINE
Middle Name:
Last Name:NWAOBI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11348 LIBERTAS AMERICANA DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32221-1895
Mailing Address - Country:US
Mailing Address - Phone:516-244-7182
Mailing Address - Fax:
Practice Address - Street 1:11348 LIBERTAS AMERICANA DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-1895
Practice Address - Country:US
Practice Address - Phone:516-244-7182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH26416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty