# RAFATI PSYCH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134906779
- **Authorized official:** BASIL ALRAFATI PSY.D. (OWNER AND DIRECTOR)
- **Authorized official phone:** (478) 960-8298

## Contact information

- **Practice address:** 315 BOULEVARD NE STE 520, ATLANTA, GA 30312-1266
- **Practice address phone:** (404) 476-3535
- **Practice address fax:** (404) 254-4263
- **Mailing address:** 315 BOULEVARD NE STE 520, ATLANTA, GA 30312-1266
- **Mailing address phone:** (404) 476-3535
- **Mailing address fax:** (404) 254-4263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2023
- **Last updated:** 09/08/2023