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

Individual provider Mental Health Counselor · NPI 1568951820

Rahman Rahim Shabazz, CT is a Mental Health Counselor in Penfield, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

2060 Fairport Nine Mile Point Rd Ste 400
Penfield, NY 14526-1749
Phone: (585) 388-6000
Fax: (585) 388-6004
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P139753 (NY)

Record details

NPI number1568951820
Entity typeIndividual (Type 1)
GenderMale
Credentials CT
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address2060 Fairport Nine Mile Point Rd Ste 400, Penfield, NY 14526-1749

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