Doctor Name: | MRS. SABRIYA LAILA SHARIF-HANIFA |
NPI Number: | 1114361797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LCAS-A |
License Number: | 3175-A |
Business Practice Address: | 1140 Baxter Ln Apt 103 Knightdale, NC - 275456520 |
Business Phone Number: | 9197584559 |
Business Fax Number: | |
Mailing Address: | 1140 Baxter Ln Apt 103, KNIGHTDALE |
State: | NC |
Postal Code: | 275456520 |
Phone Number: | 9197584559 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2013 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3175-A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |