Ray Of Hope Llc | |
11300 W Parmer Ln Apt 1611 Cedar Park TX 78613-4827 | |
(702) 580-1039 | |
Not Available |
Full Name | Ray Of Hope Llc |
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Speciality | Marriage & Family Therapist |
Location | 11300 W Parmer Ln Apt 1611, Cedar Park, Texas |
Authorized Official Name and Position | Heather A Lucero (OWNER) |
Authorized Official Contact | 7025801039 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ray Of Hope Llc 201 S Lakeline Blvd Ste 103 Cedar Park TX 78613-2719 Ph: (702) 580-1039 | Ray Of Hope Llc 11300 W Parmer Ln Apt 1611 Cedar Park TX 78613-4827 Ph: (702) 580-1039 |
NPI Number | 1578011797 |
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Provider Enumeration Date | 09/16/2016 |
Last Update Date | 09/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578011797 | NPI | - | NPPES |
1194944793 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 202827 (Texas) | Primary |
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