| Doctor Name: | MISS LEAH TAMAR AL-HABIB |
| NPI Number: | 1033599279 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, ST |
| License Number: | |
| Business Practice Address: | 9876 Main St Suite 100 Woodstock, GA - 301883970 |
| Business Phone Number: | 7705161050 |
| Business Fax Number: | |
| Mailing Address: | 320 Hill Crest Cir, WOODSTOCK |
| State: | GA |
| Postal Code: | 301882299 |
| Phone Number: | 6142183571 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2015 |
| NPI Last Update Date: | 06/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |