Provider Demographics
NPI:1356796643
Name:RAY OF LIGHT COUNSELING LLC
Entity type:Organization
Organization Name:RAY OF LIGHT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-314-1659
Mailing Address - Street 1:59 N DIXIE DR STE C
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-2067
Mailing Address - Country:US
Mailing Address - Phone:937-314-1659
Mailing Address - Fax:937-424-8767
Practice Address - Street 1:59 N DIXIE DR STE C
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-2067
Practice Address - Country:US
Practice Address - Phone:937-314-1659
Practice Address - Fax:937-424-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty