Provider Demographics
NPI:1861846222
Name:RAY, TAREN (LPC)
Entity Type:Individual
Prefix:
First Name:TAREN
Middle Name:
Last Name:RAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2652 FM 407 E STE 235
Mailing Address - Street 2:
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7025
Mailing Address - Country:US
Mailing Address - Phone:940-205-8335
Mailing Address - Fax:866-899-7939
Practice Address - Street 1:2652 FM 407 E STE 235
Practice Address - Street 2:
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-7025
Practice Address - Country:US
Practice Address - Phone:940-205-8335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7779101YM0800X
TX88110101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health