Provider Demographics
NPI:1497331003
Name:RAY OF LIGHT COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:RAY OF LIGHT COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:229-349-0807
Mailing Address - Street 1:PO BOX 7814
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-7814
Mailing Address - Country:US
Mailing Address - Phone:229-349-0807
Mailing Address - Fax:
Practice Address - Street 1:4445 MILLER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4064
Practice Address - Country:US
Practice Address - Phone:706-905-5758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty