Healthcare Provider Details

I. General information

NPI: 1447724398
Provider Name (Legal Business Name): NADA AZMY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 CAWLEY DR
FREDERICK MD
21703-4563
US

IV. Provider business mailing address

10025 GOVERNOR WARFIELD PKWY STE 202
COLUMBIA MD
21044-3329
US

V. Phone/Fax

Practice location:
  • Phone: 201-466-9492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP8938
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC10727
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: