Provider Demographics
NPI:1821973371
Name:GARRAWAY, RAYMA N
Entity type:Individual
Prefix:
First Name:RAYMA
Middle Name:N
Last Name:GARRAWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 LEGION ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-4036
Mailing Address - Country:US
Mailing Address - Phone:347-791-5595
Mailing Address - Fax:
Practice Address - Street 1:1101 S MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006
Practice Address - Country:US
Practice Address - Phone:347-791-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190115AN101YA0400X
101YM0800X, 103TA0400X, 101YP1600X, 103TP2701X, 133NN1002X, 172A00000X, 171400000X, 171M00000X, 172V00000X, 225100000X, 372600000X, 374J00000X, 376J00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No172A00000XOther Service ProvidersDriver
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No372600000XNursing Service Related ProvidersAdult Companion
No374J00000XNursing Service Related ProvidersDoula
No376J00000XNursing Service Related ProvidersHomemaker