Healthcare Provider Details

I. General information

NPI: 1437069069
Provider Name (Legal Business Name): AWARENESS HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CRAIN HWY STE 101
WALDORF MD
20603-4841
US

IV. Provider business mailing address

3200 CRAIN HWY STE 101
WALDORF MD
20603-4841
US

V. Phone/Fax

Practice location:
  • Phone: 240-232-9950
  • Fax:
Mailing address:
  • Phone: 240-232-9950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MAHAWA MUSA
Title or Position: CEO
Credential: LCSW-C
Phone: 202-600-6221