Provider Demographics
NPI:1104196799
Name:MACARI, RITA (LPC)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:MACARI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 MALLARD POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3379
Mailing Address - Country:US
Mailing Address - Phone:770-367-0209
Mailing Address - Fax:
Practice Address - Street 1:1361 JENNINGS MILL RD
Practice Address - Street 2:201
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-2579
Practice Address - Country:US
Practice Address - Phone:706-316-1908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC5445101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health