Provider Demographics
NPI:1235829029
Name:RAYANN CARE LLC
Entity Type:Organization
Organization Name:RAYANN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:888-572-9773
Mailing Address - Street 1:13475 ATLANTIC BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-3290
Mailing Address - Country:US
Mailing Address - Phone:888-310-6692
Mailing Address - Fax:888-572-9773
Practice Address - Street 1:13475 ATLANTIC BLVD STE 8
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-3290
Practice Address - Country:US
Practice Address - Phone:888-310-6692
Practice Address - Fax:888-572-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)