| Ray Of Light Counseling Services, Llc | |
|
1907 Pass Rd Ste E Biloxi MS 39531-4101 | |
| (228) 260-0675 | |
| Not Available |
| Full Name | Ray Of Light Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1907 Pass Rd Ste E, Biloxi, Mississippi |
| Authorized Official Name and Position | Jennifer Mayne (OWNER) |
| Authorized Official Contact | 8502525931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Of Light Counseling Services, Llc 1907 Pass Rd Ste E Biloxi MS 39531-4101 Ph: (228) 260-0675 | Ray Of Light Counseling Services, Llc 1907 Pass Rd Ste E Biloxi MS 39531-4101 Ph: (228) 260-0675 |
| NPI Number | 1023708948 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Medicare PECOS PAC ID | 2961868492 |
|---|---|
| Medicare Enrollment ID | O20230525001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023708948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Mayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346490521 PECOS PAC ID: 1951375591 Enrollment ID: I20230525001169 |
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