Provider Demographics
NPI:1013464007
Name:GRAUMANN, RYAN MICHAEL (LCMHCS)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:MICHAEL
Last Name:GRAUMANN
Suffix:
Gender:M
Credentials:LCMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6616 SIX FORKS RD STE 204
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6524
Mailing Address - Country:US
Mailing Address - Phone:919-576-0263
Mailing Address - Fax:
Practice Address - Street 1:6616 SIX FORKS RD STE 204
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6524
Practice Address - Country:US
Practice Address - Phone:919-576-0263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS11818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health