Basic Information
| Provider Information | |||||||||
| NPI: | 1336735265 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HADI | ||||||||
| FirstName: | ZAHRA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 833 HURRICANE SHOALS RD NE | ||||||||
| Address2: | |||||||||
| City: | LAWRENCEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300434821 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8336288476 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1356 BLUEGRASS LAKES PKWY | ||||||||
| Address2: | |||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300043395 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8336288476 | ||||||||
| FaxNumber: | 7702001563 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2020 | ||||||||
| LastUpdateDate: | 08/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | N | 103K00000X | 1-22-60864 | GA | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.