MEDICARE: RAH COUNSELING SERVICES, LLC

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1609722479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAH COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3055 LOST CABIN PL
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30135-8648
Country	:	US
Telephone Number	:	770-873-9400
Fax Number	:	770-456-5259

Provider Business Practice Location Address
First Line	:	3055 LOST CABIN PL
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30135-8648
Country	:	US
Telephone Number	:	770-873-9400
Fax Number	:	770-456-5259

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RICHARD ANTHONY HAMILTON
Credential	:	LPC
Telephone Number	:	770-873-9400

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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