MEDICARE: LEAH HOWARD

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
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1952984189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH HOWARD

Provider Business Mailing Address
First Line	:	4370 LAWRENCEVILLE HWY NW UNIT 3441
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30048-5037
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 BUFORD HWY NE STE 540
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30329-2143
Country	:	US
Telephone Number	:	404-645-0550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	05/05/2021

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Directions to “ LEAH HOWARD ” Practice Location

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