Provider Demographics
NPI:1942807987
Name:RAY OF HOPE COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:RAY OF HOPE COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAINNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:551-404-8492
Mailing Address - Street 1:48 WEDGE WAY
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1210
Mailing Address - Country:US
Mailing Address - Phone:551-404-8492
Mailing Address - Fax:
Practice Address - Street 1:48 WEDGE WAY
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1210
Practice Address - Country:US
Practice Address - Phone:551-404-8492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)