Provider Demographics
NPI:1114361797
Name:SHARIF-HANIFA, SABRIYA LAILA (MS, LCAS-A)
Entity Type:Individual
Prefix:MRS
First Name:SABRIYA
Middle Name:LAILA
Last Name:SHARIF-HANIFA
Suffix:
Gender:F
Credentials:MS, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 BAXTER LN APT 103
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-6520
Mailing Address - Country:US
Mailing Address - Phone:919-758-4559
Mailing Address - Fax:
Practice Address - Street 1:1140 BAXTER LN APT 103
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-6520
Practice Address - Country:US
Practice Address - Phone:919-758-4559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3175-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)