Provider Demographics
NPI:1659979003
Name:RAY OF LIGHT MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:RAY OF LIGHT MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELETA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-209-9961
Mailing Address - Street 1:47 MARTHA ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-6239
Mailing Address - Country:US
Mailing Address - Phone:516-209-9961
Mailing Address - Fax:
Practice Address - Street 1:70 E SUNRISE HWY STE 500
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1233
Practice Address - Country:US
Practice Address - Phone:516-387-2179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty