Provider Demographics
NPI:1255790481
Name:ZAHRA-LEBLANC, LAUREN MARIA
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARIA
Last Name:ZAHRA-LEBLANC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ROBERT TONER BLVD STE 5-377
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02763-1174
Mailing Address - Country:US
Mailing Address - Phone:508-840-3538
Mailing Address - Fax:
Practice Address - Street 1:11 ROBERT TONER BLVD STE 5-377
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02763-1174
Practice Address - Country:US
Practice Address - Phone:508-840-3538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health