Provider Demographics
NPI:1598037079
Name:RAYS OF SONSHINE
Entity Type:Organization
Organization Name:RAYS OF SONSHINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:RAC CCS
Authorized Official - Phone:318-323-0502
Mailing Address - Street 1:PO BOX 7299
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71211-7299
Mailing Address - Country:US
Mailing Address - Phone:318-323-0502
Mailing Address - Fax:318-387-0700
Practice Address - Street 1:200 BREARD ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-6704
Practice Address - Country:US
Practice Address - Phone:318-323-0502
Practice Address - Fax:318-387-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA421324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility