Provider Demographics
NPI:1588198998
Name:ATIYEH, LEILA (LPCC)
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:
Last Name:ATIYEH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 ARNOLD AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3493
Mailing Address - Country:US
Mailing Address - Phone:619-719-1202
Mailing Address - Fax:
Practice Address - Street 1:3685 ARNOLD AVE APT 6
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3493
Practice Address - Country:US
Practice Address - Phone:619-719-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-13
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health