Healthcare Provider Details

I. General information

NPI: 1003736075
Provider Name (Legal Business Name): AWAB SHAWKAT LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 5TH AVE STE H203
NEW YORK NY
10001-7604
US

IV. Provider business mailing address

418 BROADWAY # 11516
ALBANY NY
12207-2922
US

V. Phone/Fax

Practice location:
  • Phone: 914-912-1245
  • Fax:
Mailing address:
  • Phone: 413-298-2215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0181601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: