Healthcare Provider Details

I. General information

NPI: 1376216671
Provider Name (Legal Business Name): FARID AWAD LMFT, LCMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2021
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5606 COUNTRY VIEW LN
WADE NC
28395-9100
US

IV. Provider business mailing address

5606 COUNTRY VIEW LN
WADE NC
28395-9100
US

V. Phone/Fax

Practice location:
  • Phone: 919-827-1662
  • Fax:
Mailing address:
  • Phone: 919-827-1662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2440
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16507
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: