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NPI Code Detail

MEDICARE: MS. LEILA S BAHOUR MSED, LPC

MEDICARE: MS. LEILA S BAHOUR MSED, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC5590OH

General Provider Information

NPI Number : 1306808423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LEILA S BAHOUR MSED, LPC
Provider Business Mailing Address
First Line : 8589 INDIAN CREEK DR
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-3388
Country : US
Telephone Number : 330-503-5193
Fax Number :
Provider Business Practice Location Address
First Line : 165 E PARK AVE
Second Line :
City : NILES
State : OH
Zip : 44446-2352
Country : US
Telephone Number : 330-544-8005
Fax Number : 330-544-9379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 09/28/2023

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