MEDICARE: SHAHREEN AWAL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	009350

General Provider Information

NPI Number	:	1457899619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHREEN AWAL LMHC

Provider Business Mailing Address
First Line	:	566 7TH AVE FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-1802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	566 7TH AVE FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-1802
Country	:	US
Telephone Number	:	212-564-7631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	05/09/2019

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