Provider Demographics
NPI:1699169425
Name:AWAIS, NADIA (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:AWAIS
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 GREENWICH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-4109
Mailing Address - Country:US
Mailing Address - Phone:732-853-5705
Mailing Address - Fax:
Practice Address - Street 1:2326 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-4109
Practice Address - Country:US
Practice Address - Phone:732-853-5705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-18
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00202600101YA0400X
NJ37PC00465700101YP2500X
PAPC010487101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)