Provider Demographics
NPI:1902358757
Name:RAGGHIANTI, PATRICK ANTHONY (MS ED)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:ANTHONY
Last Name:RAGGHIANTI
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Gender:M
Credentials:MS ED
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Mailing Address - Street 1:2165 SPICER CV STE 5
Mailing Address - Street 2:MEMPHIS NORTH TREATMENT CENTER
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-5623
Mailing Address - Country:US
Mailing Address - Phone:901-372-7878
Mailing Address - Fax:901-373-9298
Practice Address - Street 1:2165 SPICER CV
Practice Address - Street 2:SUITE 5
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-5623
Practice Address - Country:US
Practice Address - Phone:901-372-7878
Practice Address - Fax:901-373-9298
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)