Provider Demographics
NPI:1013603786
Name:KAWASH, OMAR GHASSAN (LMHC)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:GHASSAN
Last Name:KAWASH
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7285 SW 90TH ST UNIT 517
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-1663
Mailing Address - Country:US
Mailing Address - Phone:305-613-3904
Mailing Address - Fax:
Practice Address - Street 1:7285 SW 90TH ST UNIT 517
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-1663
Practice Address - Country:US
Practice Address - Phone:305-613-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20159101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health