Healthcare Provider Details

I. General information

NPI: 1114491768
Provider Name (Legal Business Name): MONA AWAD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 OAKLAND SHORES DR APT 102J
OAKLAND PARK FL
33309-5617
US

IV. Provider business mailing address

16821 NE 6TH AVE
NORTH MIAMI BEACH FL
33162-2405
US

V. Phone/Fax

Practice location:
  • Phone: 734-846-2642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW21938
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW21938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: