Provider Demographics
NPI:1255924882
Name:HARB EL-SAYED, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:HARB EL-SAYED
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 1:23756 MICHIGAN AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1853
Mailing Address - Country:US
Mailing Address - Phone:313-338-6964
Mailing Address - Fax:
Practice Address - Street 1:22720 MICHIGAN AVE STE 175
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2000
Practice Address - Country:US
Practice Address - Phone:313-338-6964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-15
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health