| Jeffrey P Ray Lmhc Cap Csat Llc | |
|
1860 Old Okeechobee Rd Ste 300 West Palm Beach FL 33409-5224 | |
| (561) 707-6591 | |
| (888) 820-1824 |
| Full Name | Jeffrey P Ray Lmhc Cap Csat Llc |
|---|---|
| Speciality | Counselor |
| Location | 1860 Old Okeechobee Rd Ste 300, West Palm Beach, Florida |
| Authorized Official Name and Position | Jeffrey Paul Ray (OWNER) |
| Authorized Official Contact | 5617076591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey P Ray Lmhc Cap Csat Llc 1199 Creekside Dr Wellington FL 33414-3137 Ph: (561) 707-6591 | Jeffrey P Ray Lmhc Cap Csat Llc 1860 Old Okeechobee Rd Ste 300 West Palm Beach FL 33409-5224 Ph: (561) 707-6591 |
| NPI Number | 1730593039 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 1153774138 |
|---|---|
| Medicare Enrollment ID | O20240125002929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730593039 | NPI | - | NPPES |
| Provider Name | Jeff P Ray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437481017 PECOS PAC ID: 3971956954 Enrollment ID: I20240125003060 |
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