| Tarra L Ray Malpc, Llc. | |
|
4016 Flowers Rd Ste 440a Doraville GA 30360-3196 | |
| (517) 980-5648 | |
| (678) 606-9290 |
| Full Name | Tarra L Ray Malpc, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4016 Flowers Rd Ste 440a, Doraville, Georgia |
| Authorized Official Name and Position | Tarra L Ray (OWNER) |
| Authorized Official Contact | 5179805648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarra L Ray Malpc, Llc. 4016 Flowers Rd Ste 440a Doraville GA 30360-3196 Ph: (517) 980-5648 | Tarra L Ray Malpc, Llc. 4016 Flowers Rd Ste 440a Doraville GA 30360-3196 Ph: (517) 980-5648 |
| NPI Number | 1821798919 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821798919 | NPI | - | NPPES |
Cgs Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4016 Flowers Rd Ste 440a, Doraville, GA 30360 Phone: 404-282-4225 |