Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ismail Raheem

Individual provider Mental Health Counselor · NPI 1508454513

Ismail Raheem is a Mental Health Counselor in Dallas, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

43 Amanda Dr
Dallas, GA 30157-6057
Phone: (706) 409-6280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43 Amanda Dr, Dallas, GA 30157-6057 — (706) 409-6280

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC014810 (GA)

Record details

NPI number1508454513
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address43 Amanda Dr, Dallas, GA 30157-6057

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