Provider Demographics
NPI:1821120627
Name:RAHMAN, KALEEM U (MA LPC)
Entity Type:Individual
Prefix:MR
First Name:KALEEM
Middle Name:U
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FIVE CONCOURSE PARKWAY
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-7106
Mailing Address - Country:US
Mailing Address - Phone:678-560-3434
Mailing Address - Fax:770-392-3426
Practice Address - Street 1:FIVE CONCOURSE PARKWAY
Practice Address - Street 2:SUITE 3000
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-7106
Practice Address - Country:US
Practice Address - Phone:678-560-3434
Practice Address - Fax:770-392-3426
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002115101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional