| Doctor Name: | MR. SAMUEL HADEN RAPER |
| NPI Number: | 1811059157 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.ED., M.S. |
| License Number: | |
| Business Practice Address: | 5030 Georgia Belle Ct Ste 2036 Norcross, GA - 300932667 |
| Business Phone Number: | 7706385760 |
| Business Fax Number: | 7706385789 |
| Mailing Address: | 3432 Water Vistas Pkwy, Apt B LAWRENCEVILLE |
| State: | GA |
| Postal Code: | 300443070 |
| Phone Number: | 7703815498 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |