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NPI Code Detail

MEDICARE: RACHAEL MEGAN HEIB

MEDICARE: RACHAEL MEGAN HEIB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC008413GA

General Provider Information

NPI Number : 1265814461
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL MEGAN HEIB
Provider Business Mailing Address
First Line : 4255 WADE GREEN RD NW STE 414
Second Line :
City : KENNESAW
State : GA
Zip : 30144-1763
Country : US
Telephone Number : 678-439-9952
Fax Number :
Provider Business Practice Location Address
First Line : 4255 WADE GREEN RD NW STE 414
Second Line :
City : KENNESAW
State : GA
Zip : 30144-1763
Country : US
Telephone Number : 678-439-9952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 06/24/2015

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Directions to “ RACHAEL MEGAN HEIB ” Practice Location

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