Provider Demographics
NPI:1376128900
Name:AWAH, DEION PASCAL (CEO)
Entity type:Individual
Prefix:MR
First Name:DEION
Middle Name:PASCAL
Last Name:AWAH
Suffix:
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 HIGH PARK LN
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5834
Mailing Address - Country:US
Mailing Address - Phone:202-679-8040
Mailing Address - Fax:
Practice Address - Street 1:180 HIGH PARK LN
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-5834
Practice Address - Country:US
Practice Address - Phone:202-679-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor