Fatema Shabbir Harianawala, LPC
Counselor, Professional in Tyrone, GA. Individual provider (NPI-1).
NPI number1962029702
StatusActive
Last updated in NPPESJun 27, 2020
Details
- NPI
- 1962029702
- Entity type
- Individual (NPI-1)
- Name
- Fatema Shabbir Harianawala
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2020
- Certification date
- Jun 27, 2020
- Last updated
- Jun 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC011305 | GA | Yes |
Practice location
120 Handley Rd Ste 310Tyrone, GA 30290-2173
Phone 678-310-4789
Mailing address
151 Highway 74 S Unit 3437Peachtree City, GA 30269-4317
Phone 678-310-4789
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