Provider Demographics
NPI:1699190793
Name:AWAIS, YASMINE (ATR-BC, ATCS)
Entity Type:Individual
Prefix:PROF
First Name:YASMINE
Middle Name:
Last Name:AWAIS
Suffix:
Gender:F
Credentials:ATR-BC, ATCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:MAIL STOP 7905
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1320
Mailing Address - Country:US
Mailing Address - Phone:267-359-5505
Mailing Address - Fax:267-359-5579
Practice Address - Street 1:1601 CHERRY ST
Practice Address - Street 2:PARKWAY HEALTH & WELLNESS CENTER, FLOOR 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1320
Practice Address - Country:US
Practice Address - Phone:267-359-5505
Practice Address - Fax:267-359-5579
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC0007426101Y00000X
NY000355-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist