| Ray Of Light Counseling Service Llc | |
|
112 E Carolina Ave Ste D Ruston LA 71270-3898 | |
| (318) 639-0765 | |
| (318) 314-2181 |
| Full Name | Ray Of Light Counseling Service Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 112 E Carolina Ave Ste D, Ruston, Louisiana |
| Authorized Official Name and Position | Virginia Ray (PRESIDENT) |
| Authorized Official Contact | 3186390765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Of Light Counseling Service Llc 112 E Carolina Ave Ste D Ruston LA 71270-3898 Ph: (318) 639-0765 | Ray Of Light Counseling Service Llc 112 E Carolina Ave Ste D Ruston LA 71270-3898 Ph: (318) 639-0765 |
| NPI Number | 1558902072 |
|---|---|
| Provider Enumeration Date | 10/06/2019 |
| Last Update Date | 11/13/2021 |
| Certification Date | 11/13/2021 |
| Medicare PECOS PAC ID | 4789026808 |
|---|---|
| Medicare Enrollment ID | O20240521002986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558902072 | NPI | - | NPPES |
| Provider Name | Virginia Ray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689095606 PECOS PAC ID: 7315389434 Enrollment ID: I20240521003332 |
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