Provider Demographics
NPI:1568233054
Name:AWAL, YASMINE HAMDALLAH (LSW)
Entity Type:Individual
Prefix:
First Name:YASMINE
Middle Name:HAMDALLAH
Last Name:AWAL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:HAMDALLAH
Other - Middle Name:SIDIQ
Other - Last Name:AWAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2929 KENNY RD STE 230
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2415
Mailing Address - Country:US
Mailing Address - Phone:614-233-1062
Mailing Address - Fax:
Practice Address - Street 1:2929 KENNY RD STE 230
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2415
Practice Address - Country:US
Practice Address - Phone:614-233-1062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.23098591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical