NPI | 1558902072 |
---|---|
Doing Business As | RAY OF LIGHT COUNSELING SERVICE LLC |
Entity Type | Organization |
Authorized Contact | VIRGINIA RAY President 318-639-0765 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2019-10-06 |
Last Update Date | 2021-11-13 |