Provider Demographics
NPI:1477004208
Name:HALABY, LAILA (MA)
Entity Type:Individual
Prefix:
First Name:LAILA
Middle Name:
Last Name:HALABY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 E BELLEVUE ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-4012
Mailing Address - Country:US
Mailing Address - Phone:520-323-1708
Mailing Address - Fax:
Practice Address - Street 1:3830 E BELLEVUE ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4012
Practice Address - Country:US
Practice Address - Phone:520-323-1708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist