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Organization
TARRA L RAY MALPC, LLC.
Active
Organization
TARRA L RAY MALPC, LLC.
Active
Other names
Tarra L Ray MALPC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TARRA L RAY LPC (OWNER)
(517) 980-5648
Entity
Organization
Contact information
Practice address
4016 FLOWERS RD STE 440A, DORAVILLE, GA 30360-3196
(517) 980-5648
(678) 606-9290
Mailing address
4016 FLOWERS RD STE 440A, DORAVILLE, GA 30360-3196
(517) 980-5648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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