Tarra L Ray Malpc, LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TARRA L RAY MALPC, LLC.

Practice address

4016 Flowers Rd Ste 440a
Doraville, GA 30360-3196

Phone

(517) 980-5648

Fax

(678) 606-9290

NPI assigned

Mar 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tarra L Ray, LPCNPI 1881981421

Title

Owner

Phone

(517) 980-5648

Specialties & licenses 2

Addresses

Other names 1

• Tarra L Ray MALPC LLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tarra Lynn Winfield Ray, LLPC

  • Professional Counselor
  • Lansing, MI
  • NPI 1881981421
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821798919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 FLOWERS RD STE 440A",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603196",
            "telephone_number": "517-980-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 FLOWERS RD STE 440A",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603196",
            "telephone_number": "517-980-5648",
            "fax_number": "678-606-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRA L RAY MALPC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TARRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-980-5648",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarra L Ray MALPC LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Doraville, GA
• Providers in Doraville, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.