Provider Demographics
NPI:1336328590
Name:RAPACH, KAREN MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:RAPACH
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 1:2000 SOUTH PARKWAY PLACE
Mailing Address - Street 2:WELL STAR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-2013
Mailing Address - Country:US
Mailing Address - Phone:770-956-6477
Mailing Address - Fax:177-095-6463
Practice Address - Street 1:2000 SOUTH PARK PLACE
Practice Address - Street 2:WELL STAR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2013
Practice Address - Country:US
Practice Address - Phone:770-956-6477
Practice Address - Fax:177-095-6463
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC0003836101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional