Provider Demographics
NPI:1821060500
Name:RAY, DANIEL W (LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:W
Last Name:RAY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 DONS WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913
Mailing Address - Country:US
Mailing Address - Phone:501-620-5130
Mailing Address - Fax:501-620-5109
Practice Address - Street 1:125 DONS WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-3423
Practice Address - Country:US
Practice Address - Phone:501-624-7111
Practice Address - Fax:501-620-5109
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0312052101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR349543OtherMHN NETWORK
AR710401764RAYOtherUNITY MANAGED M.H. CO.
ARMIS 773920000OtherMAGELLAN
AR71-0401764OtherCORPHEALTH
AR2238592OtherCIGNA BEHAVIORAL HEALTH
AR233907OtherCOMPSYCH
AR7139687OtherAETNA
AR116399726Medicaid
AR4080018100OtherQUAL-CHOICE
AR946139OtherUSA MANAGED CARE
AR5X672OtherBLUE CROSS & BLUE SHIELD