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General NPI Number Information
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NPI Number | 1003785445
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Entity Type | Organization
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Legal Business Name | RATAUCHA A HEARD CARE SERVICES- MARA
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 15530 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-3806
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Country | US
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Telephone | 734-725-9261
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 S HURON PKWY STE 2B
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City | ANN ARBOR
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State | MI
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Zip | 48104-5133
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Country | US
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Telephone | 734-725-9261
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Fax | 734-480-8686
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Authorized Official
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Title or Position | CEO DIRECTOR
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Name | RATAUCHA A HEARD
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Credential | LPC, CAADC, CFTC,
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Telephone | 734-725-9261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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