Healthcare Provider Details

I. General information

NPI: 1912829375
Provider Name (Legal Business Name): HANN MARIE RASCO APC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 OLD ALABAMA RD STE 200
JOHNS CREEK GA
30022-8553
US

IV. Provider business mailing address

4118 SPRINGWOOD PL
MARIETTA GA
30062-1055
US

V. Phone/Fax

Practice location:
  • Phone: 678-893-5399
  • Fax:
Mailing address:
  • Phone: 828-406-3433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC009802
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: