Provider Demographics
NPI:1134252596
Name:TONI RAHMAN, LLC LCSW
Entity type:Organization
Organization Name:TONI RAHMAN, LLC LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:573-999-6011
Mailing Address - Street 1:623 BLUFF DALE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6023
Mailing Address - Country:US
Mailing Address - Phone:573-449-5024
Mailing Address - Fax:573-445-0949
Practice Address - Street 1:623 BLUFF DALE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6023
Practice Address - Country:US
Practice Address - Phone:573-449-5024
Practice Address - Fax:573-445-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO385281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty