| Ray Williams Therapy Llc | |
|
6542 Regency Ln Ste 101 Eden Prairie MN 55344-7847 | |
| (952) 314-9556 | |
| Not Available |
| Full Name | Ray Williams Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6542 Regency Ln Ste 101, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Raymond Thomas Williams (PRESIDENT, OWNER) |
| Authorized Official Contact | 9523149556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Williams Therapy Llc 6542 Regency Ln Ste 101 Eden Prairie MN 55344-7847 Ph: (952) 314-9556 | Ray Williams Therapy Llc 6542 Regency Ln Ste 101 Eden Prairie MN 55344-7847 Ph: (952) 314-9556 |
| NPI Number | 1831786045 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Certification Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831786045 | NPI | - | NPPES |
| 004344241 | Other | MN | BLUE CROSS BLUE SHIELD NUMBER |
| 1619276052 | Other | MN | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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