Provider Demographics
NPI:1730393059
Name:KRAUS, REVA MANON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:REVA
Middle Name:MANON
Last Name:KRAUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 LILBURN-STONE MT RD STE 235
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087
Mailing Address - Country:US
Mailing Address - Phone:678-243-0647
Mailing Address - Fax:888-887-9543
Practice Address - Street 1:9 DUNWOODY PARK
Practice Address - Street 2:SUITE 136
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-7407
Practice Address - Country:US
Practice Address - Phone:770-744-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical