| Ray Of Hope Counseling, Llc | |
|
14074 Trade Center Dr Ste 139 Fishers IN 46038-4570 | |
| (317) 575-0500 | |
| Not Available |
| Full Name | Ray Of Hope Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14074 Trade Center Dr Ste 139, Fishers, Indiana |
| Authorized Official Name and Position | Catherine Lynn Ray (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3175750500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Of Hope Counseling, Llc 14074 Trade Center Dr Ste 139 Fishers IN 46038-4570 Ph: (317) 575-0500 | Ray Of Hope Counseling, Llc 14074 Trade Center Dr Ste 139 Fishers IN 46038-4570 Ph: (317) 575-0500 |
| NPI Number | 1801419031 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Medicare PECOS PAC ID | 8628441847 |
|---|---|
| Medicare Enrollment ID | O20230308001610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801419031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Catherine Lynn Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780105734 PECOS PAC ID: 6406127182 Enrollment ID: I20170731001839 |
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