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General NPI Number Information
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NPI Number | 1538035779
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Entity Type | Organization
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Legal Business Name | RAPHA COUNSELING GROUP LLC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL # 7098
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 770-376-5190
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Fax | 833-643-4238
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL # 7098
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 770-376-5190
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Fax | 833-643-4238
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. MARIKA LONG
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Credential | PH.D, LPC
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Telephone | 352-362-0087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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