Healthcare Provider Details

I. General information

NPI: 1750204038
Provider Name (Legal Business Name): LEENAH ABBOUD MA, LAPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4080 MCGINNIS FERRY RD
ALPHARETTA GA
30005-3948
US

IV. Provider business mailing address

3376 CARVERTON LN
ALPHARETTA GA
30022-4401
US

V. Phone/Fax

Practice location:
  • Phone: 470-485-5571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC011264
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: